Revolution Sports Medicine
NPI 1083096499 · Physical Therapist · Columbia, MD
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Revolution Sports Medicine is a Physical Therapist organization in Columbia, MD (NPI 1083096499).
Provider details
- NPI number
- 1083096499
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Timothy Loughlin, President(240) 512-0190
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-06-22
- Last updated
- 2016-12-14
Frequently asked questions
- What is Revolution Sports Medicine's NPI number?
- Revolution Sports Medicine's National Provider Identifier (NPI) is 1083096499, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revolution Sports Medicine?
- Revolution Sports Medicine is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Revolution Sports Medicine located?
- Revolution Sports Medicine's practice location on file with NPPES is 6570 Dobbin Rd, Columbia, MD 21045-5855.
- What is Revolution Sports Medicine's phone number?
- The practice phone number listed in the NPPES registry for Revolution Sports Medicine is (240) 512-0190.
- Does Revolution Sports Medicine accept Medicare?
- Revolution Sports Medicine is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Revolution Sports Medicine?
- The authorized official listed on Revolution Sports Medicine's NPPES record is Timothy Loughlin, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revolution Sports Medicine's NPI active?
- Yes — Revolution Sports Medicine's NPI (1083096499) is active in the NPPES registry as of the last update on 2016-12-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.