Pt Revolution Physical Therapy, Pc

LBN: Pt Revolution Physical Therapy, Pc
Pt Revolution Physical Therapy, Pc is an health care organization with primary practice located at 2038 Lake Tahoe Blvd , South Lake Tahoe CA 96150-6499. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Pt Revolution Physical Therapy, Pc can be contacted via phone (530) 208-9910, or through Collin, Jason via phone (530) 307-3316.

Contact Information

Primary practice address
2038 Lake Tahoe Blvd South Lake Tahoe CA 96150-6499
Phone: (530) 208-9910
Fax: (530) 285-2001
Website:
Map and Directions
Authorized official contact:
Name: Collin, Jason
Phone: (530) 307-3316

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X

Profile Details

NPI number 1467179663
LBN Legal business name Pt Revolution Physical Therapy, Pc
DBA Doing business as
Authorized official Collin, Jason
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 2022
Last updated Apr 26th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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