REVAMP PHYSICAL THERAPY REHAB PLLC
NPI 1023654563
Clinic/Center - Physical Therapy in Commack, NY

Active since November 19, 2019
285 COMMACK RD STE 10, COMMACK, NY 11725(631) 482-2754 Get Directions Write a Review

NPPES record last updated: November 19, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Revamp Physical Therapy Rehab Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REVAMP PHYSICAL THERAPY REHAB PLLC (NPI 1023654563) is a healthcare organization registered as a physical therapy in Commack, New York and active in the NPI registry since November 2019. The organization lists Sylvera Voskamp, Ceo, as its authorized official.

NPPES Registry Identity

NPI1023654563
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameREVAMP PHYSICAL THERAPY REHAB PLLC
Location Address285 COMMACK RD STE 10Commack, NY 11725-3403
Mailing Address121 La Bonne Vie Dr Apt GEast Patchogue, NY 11772-4398 · (631) 482-2754
Organization SubpartNo
Authorized OfficialSylvera VoskampCeo · (631) 482-2754
Enumeration DateNovember 19, 2019
✔ NPI 1023654563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
285 COMMACK RD STE 10, Commack, NY 11725

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Revamp Physical Therapy Rehab Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Revamp Physical Therapy Rehab PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Therapist in Private Practice
NPI 1275050221
285 COMMACK RD STE 10
Commack, NY 11725
(631) 714-4984
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Revamp Physical Therapy Rehab PLLC's NPI number?

The NPI number for Revamp Physical Therapy Rehab PLLC is 1023654563. It was assigned to this organization in the NPPES registry on November 19, 2019.

Where is Revamp Physical Therapy Rehab PLLC located?

Revamp Physical Therapy Rehab PLLC is located at 285 Commack Rd Ste 10, Commack, NY 11725. The listed phone number is (631) 482-2754.

What is Revamp Physical Therapy Rehab PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Is Revamp Physical Therapy Rehab PLLC enrolled in Medicare?

Yes. Revamp Physical Therapy Rehab PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Revamp Physical Therapy Rehab PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Revamp Physical Therapy Rehab PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Revamp Physical Therapy Rehab PLLC was last updated on November 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.