Revision Health Services, PLLC
NPI 1659994911 · Physical Therapy Clinic/Center · Ponte Vedra, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Revision Health Services, PLLC is a Physical Therapy Clinic/Center organization in Ponte Vedra, FL (NPI 1659994911).
Provider details
- NPI number
- 1659994911
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Michael Derry, Ceo(309) 267-9873
Specialties & taxonomies
Ambulatory Health Care Facilities
- Physical Therapist225100000X
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
6 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
- 2020-05-21
- Last updated
- 2020-05-29
- Certified
- 2020-05-29
Frequently asked questions
- What is Revision Health Services, PLLC's NPI number?
- Revision Health Services, PLLC's National Provider Identifier (NPI) is 1659994911, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revision Health Services, PLLC?
- Revision Health Services, PLLC is classified in the NPPES registry as Physical Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Revision Health Services, PLLC located?
- Revision Health Services, PLLC's practice location on file with NPPES is 131 Valley Grove Dr, Ponte Vedra, FL 32081-6165.
- What is Revision Health Services, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Revision Health Services, PLLC is (309) 267-9873.
- Does Revision Health Services, PLLC accept Medicare?
- Revision Health Services, PLLC 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 Revision Health Services, PLLC?
- The authorized official listed on Revision Health Services, PLLC's NPPES record is Michael Derry, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revision Health Services, PLLC's NPI active?
- Yes — Revision Health Services, PLLC's NPI (1659994911) is active in the NPPES registry as of the last update on 2020-05-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.