Revo Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

REVO PHYSICAL THERAPY LLC

Practice address

1999 Plainfield Pike
Johnston, RI 02919-5725

Phone

(401) 575-8893

Fax

(401) 232-8061

NPI assigned

Apr 17, 2023

Last updated

Apr 17, 2023By 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

Ryan Toher, PT, DPTNPI 1518264779

Title

Owner

Phone

(401) 829-0890

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.

• Ryan Toher, PT, DPT

  • Physical Therapist
  • Johnston, RI
  • NPI 1518264779
  NPD Authorized official

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

{
    "created_epoch": "1681689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681689600000",
    "number": "1891481396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1999 PLAINFIELD PIKE",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029195725",
            "telephone_number": "401-575-8893",
            "fax_number": "401-232-8061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 PLAINFIELD PIKE",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029195725",
            "telephone_number": "401-575-8893",
            "fax_number": "401-232-8061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVO PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-17",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A",
        "authorized_official_last_name": "TOHER",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-829-0890",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Johnston, RI
• Providers in Johnston, RI by specialty
• Physical Therapist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; 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.