Revision Health Services, Pllc

LBN: Revision Health Services, Pllc
Revision Health Services, Pllc is an health care organization with primary practice located at 131 Valley Grove Dr , Ponte Vedra FL 32081-6165. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Ambulatory Health Care Facilities / Physical Therapy. Ambulatory Health Care Facilities / Physical Therapy is the primary health care specialty. Revision Health Services, Pllc can be contacted via phone (309) 267-9873, or through Derry, Michael via phone (309) 267-9873.

Contact Information

Primary practice address
131 Valley Grove Dr Ponte Vedra FL 32081-6165
Phone: (309) 267-9873
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Derry, Michael Physical Therapist (PT)
Phone: (309) 267-9873

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X

Profile Details

NPI number 1659994911
LBN Legal business name Revision Health Services, Pllc
DBA Doing business as
Authorized official Derry, Michael Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2020
Last updated May 29th, 2020 - about 6 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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