Organization Active NPI

Revolve Physical Therapy PLLC

  • Physical Therapist
  • New York, NY
National Provider Identifier
1972375731
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
REVOLVE PHYSICAL THERAPY PLLC
Practice address
75 Maiden LN RM 404
New York, NY 10038-4636
Phone
(917) 455-4881
Fax
(866) 648-7828
NPI assigned
Oct 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Authorized official

Name
Brianna Arjona, DPTNPI 1033637541
Title
Owner
Phone
(917) 455-4881

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

75 Maiden LN RM 404
New York, NY 10038-4636

Mailing address

75 Maiden LN RM 404
New York, NY 10038-4636
Phone (917) 455-4881

National Provider Directory

National Provider Directory

Locations

75 Maiden Ln
Rm 404
New York, NY 10038
Phone (212) 402-5430

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1972375731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 MAIDEN LN RM 404",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384636",
            "telephone_number": "917-455-4881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 MAIDEN LN RM 404",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384636",
            "telephone_number": "917-455-4881",
            "fax_number": "866-648-7828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVOLVE PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "ARJONA",
        "authorized_official_first_name": "BRIANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-455-4881",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.