Revolution Physical Therapy LLC
NPI 1518469063 · Physical Therapist · Southaven, MS
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Revolution Physical Therapy LLC is a Physical Therapist organization in Southaven, MS (NPI 1518469063).
Provider details
- NPI number
- 1518469063
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Amy Graham, Owner(662) 349-9288
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
8 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
- 2018-03-01
- Last updated
- 2026-04-29
- Certified
- 2026-04-29
Frequently asked questions
- What is Revolution Physical Therapy LLC's NPI number?
- Revolution Physical Therapy LLC's National Provider Identifier (NPI) is 1518469063, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revolution Physical Therapy LLC?
- Revolution Physical Therapy LLC is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Revolution Physical Therapy LLC located?
- Revolution Physical Therapy LLC's practice location on file with NPPES is 5847 Getwell Rd Ste A5, Southaven, MS 38672-6816.
- What is Revolution Physical Therapy LLC's phone number?
- The practice phone number listed in the NPPES registry for Revolution Physical Therapy LLC is (662) 349-9288.
- Does Revolution Physical Therapy LLC accept Medicare?
- Revolution Physical Therapy LLC 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 Physical Therapy LLC?
- The authorized official listed on Revolution Physical Therapy LLC's NPPES record is Amy Graham, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revolution Physical Therapy LLC's NPI active?
- Yes — Revolution Physical Therapy LLC's NPI (1518469063) is active in the NPPES registry as of the last update on 2026-04-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.