Organization
REVOLUTION SPORTS AND PERFORMANCE LLC
Active
Other names
Revolution Performance Physical Therapy, Revolution Sports Physical Therapy and Performance
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW DAVID BLEVINS DPT (CEO/OWNER)
(813) 838-2510
Entity
Organization
Contact information
Practice address
27774 AUTUMN BREEZE CIR, WESLEY CHAPEL, FL 33544-7839
(813) 838-2510
Mailing address
27774 AUTUMN BREEZE CIR, WESLEY CHAPEL, FL 33544-7839
(813) 838-2510
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
2255A2300X
Athletic Trainer
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/05/2019
Last updated
06/14/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us