Revolution Performance Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

REVOLUTION PERFORMANCE PHYSICAL THERAPY

Practice address

5253 Magellan Way W
Delray Beach, FL 33484-1358

Phone

(772) 486-0414

NPI assigned

Apr 23, 2021

Organization subpart

No

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

Authorized official

Name

William Tyson Young Jr., DPT

Title

Owner/Physical Therapist

Phone

(772) 486-0414

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1619136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619136000000",
    "number": "1952983454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5253 MAGELLAN WAY W",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334841358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5253 MAGELLAN WAY W",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334841358",
            "telephone_number": "772-486-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVOLUTION PERFORMANCE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-23",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "TYSON",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "772-486-0414",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Restorative Therapies Inc
• Juan Restrepo, MD
• Retina Macula Specialists of Miami LLC (Jaffe Eye Institute)
• Reuben M Hoch MD PA
• Dreeahny Jabree Revoli
• Revolutionary Care Clinic LLC
• Svetlana Reyblat, PA-C, MPH
• Letty Karina Reyes Benitez
• Rodolfo Reyes, M.D.
• Cynthia Louise Reynolds, PSY.D.

• Physical Therapy Clinic/Center in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.