Revolution Therapy & Fitness Llc

LBN: Revolution Therapy & Fitness Llc
Revolution Therapy & Fitness Llc is an health care organization with primary practice located at 8626 Dorchester Rd Ste 103 , North Charleston SC 29420-7328. The organization recently has 4 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty. Revolution Therapy & Fitness Llc can be contacted via phone (843) 964-4996, or through Worsham, Llewellyn Sean via phone (843) 323-0174.

Contact Information

Primary practice address
8626 Dorchester Rd Ste 103 North Charleston SC 29420-7328
Phone: (843) 964-4996
Fax: (888) 856-3189
Website:
Map and Directions
Authorized official contact:
Name: Worsham, Llewellyn Sean
Phone: (843) 323-0174

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X

Profile Details

NPI number 1427404730
LBN Legal business name Revolution Therapy & Fitness Llc
DBA Doing business as
Authorized official Worsham, Llewellyn Sean
Entity Organization
Organization subpart 1 No
Enumeration date May 5th, 2016
Last updated Aug 24th, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1427404730 NPPES
South Carolina MEDICAID GP7597

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