Revolution Physical Therapy PLLC
NPI 1689281842 · Physical Therapist · New York, NY
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 PLLC is a Physical Therapist organization in New York, NY (NPI 1689281842).
Provider details
- NPI number
- 1689281842
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Kenneth Van, Owner(917) 816-0691
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
5 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
- 2020-09-30
- Last updated
- 2024-12-09
- Certified
- 2024-12-09
Frequently asked questions
- What is Revolution Physical Therapy PLLC's NPI number?
- Revolution Physical Therapy PLLC's National Provider Identifier (NPI) is 1689281842, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revolution Physical Therapy PLLC?
- Revolution Physical Therapy PLLC is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Revolution Physical Therapy PLLC located?
- Revolution Physical Therapy PLLC's practice location on file with NPPES is 115 W 30th St Rm 502, New York, NY 10001-4074.
- What is Revolution Physical Therapy PLLC's phone number?
- The practice phone number listed in the NPPES registry for Revolution Physical Therapy PLLC is (631) 213-2394.
- Does Revolution Physical Therapy PLLC accept Medicare?
- Revolution Physical Therapy 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 Revolution Physical Therapy PLLC?
- The authorized official listed on Revolution Physical Therapy PLLC's NPPES record is Kenneth Van, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revolution Physical Therapy PLLC's NPI active?
- Yes — Revolution Physical Therapy PLLC's NPI (1689281842) is active in the NPPES registry as of the last update on 2024-12-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.