Revolution Health And Performance, Pllc

LBN: Revolution Health And Performance, Pllc
Revolution Health And Performance, Pllc is an health care organization with primary practice located at 192 Wisteria Dr , Springfield IL 62711-9258. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Revolution Health And Performance, Pllc can be contacted via phone (913) 967-9215, or through Rebeck, Daniel Staton via phone (913) 967-9215.

Contact Information

Primary practice address
192 Wisteria Dr Springfield IL 62711-9258
Phone: (913) 967-9215
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rebeck, Daniel Staton PT, DPT
Phone: (913) 967-9215

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1215689641
LBN Legal business name Revolution Health And Performance, Pllc
DBA Doing business as
Authorized official Rebeck, Daniel Staton PT, DPT
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2022
Last updated Jan 26th, 2022 - about 4 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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