Revolution Performance Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

REVOLUTION PERFORMANCE PHYSICAL THERAPY

Practice address

4906 W 35TH St
St Louis Park, MN 55416-2612

Phone

(507) 459-2722

NPI assigned

Jan 20, 2021

Last updated

Jan 20, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christopher Meyer, PTNPI 1134552987

Title

Physical Therapist

Phone

(507) 459-2272

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christopher G Meyer, DPT

  • Physical Therapist
  • St Louis Park, MN
  • NPI 1134552987
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611100800000",
    "number": "1861082257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18954 EMBRY AVE",
            "city": "FARMINGTON",
            "state": "MN",
            "postal_code": "550247007",
            "telephone_number": "507-459-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4906 W 35TH ST",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554162612",
            "telephone_number": "507-459-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVOLUTION PERFORMANCE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "507-459-2272",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Resor
• Restwell Mattress Company
• Restwelll Mattress Company (Restwell Mattress Factory)
• Lauren Riley Resurreccion
• Alison Reuter, PT
• Susan Reynolds, LICSW
• Rhode Island Dental, P.a.
• Bethany Lemere Rice, LICSW
• Julie A Rice, NP
• Lorraine Marie Richards, NURSE PRACTITIONER

• Physical Therapy Clinic/Center in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Physical Therapy Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.