Revolution Rehabilitation and Sports Perforamance LLC
NPI 1720471345 · Physical Therapy Clinic/Center · Baltimore, MD
Revolution Rehabilitation and Sports Perforamance LLC is a Physical Therapy Clinic/Center organization in Baltimore, MD (NPI 1720471345).
Provider details
- NPI number
- 1720471345
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Matthew Bourdeau, Physical Therapist(301) 848-2284
- License
- 23944 (MD)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
Other names (DBA / former)
- Doing business as
- Revolution Rehab
Registry dates
- Enumerated
- 2015-03-05
- Last updated
- 2015-04-02
Frequently asked questions
- What is Revolution Rehabilitation and Sports Perforamance LLC's NPI number?
- Revolution Rehabilitation and Sports Perforamance LLC's National Provider Identifier (NPI) is 1720471345, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revolution Rehabilitation and Sports Perforamance LLC?
- Revolution Rehabilitation and Sports Perforamance LLC is classified in the NPPES registry as Physical Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Revolution Rehabilitation and Sports Perforamance LLC located?
- Revolution Rehabilitation and Sports Perforamance LLC's practice location on file with NPPES is 1100 Russell St, Baltimore, MD 21230-2622.
- What is Revolution Rehabilitation and Sports Perforamance LLC's phone number?
- The practice phone number listed in the NPPES registry for Revolution Rehabilitation and Sports Perforamance LLC is (301) 848-2284.
- Who is the authorized official for Revolution Rehabilitation and Sports Perforamance LLC?
- The authorized official listed on Revolution Rehabilitation and Sports Perforamance LLC's NPPES record is Matthew Bourdeau, Physical Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revolution Rehabilitation and Sports Perforamance LLC's NPI active?
- Yes — Revolution Rehabilitation and Sports Perforamance LLC's NPI (1720471345) is active in the NPPES registry as of the last update on 2015-04-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.