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GREGORY BLAKE REVETTE MS, ATC
NPI 1114533023
Specialist/Technologist - Athletic Trainer in Centre, AL

Active since September 17, 2020
910 WARRIOR DR, CENTRE, AL 35960(601) 479-8614 Get Directions Write a Review

NPPES record last updated: September 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gregory Blake Revette Ms, Atc NPPES

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

GREGORY BLAKE REVETTE MS, ATC (NPI 1114533023) is an individual athletic trainer provider in Centre, Alabama, licensed in Alabama (1093) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1114533023
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameGREGORY BLAKE REVETTECredential: MS, ATC
Location Address910 WARRIOR DRCentre, AL 35960-1099
Mailing Address400 County Road 574Centre, AL 35960-6658 · (601) 479-8614
Phone(601) 479-8614
Sole ProprietorNo
Enumeration DateSeptember 17, 2020
NPPES CertifiedSeptember 16, 2020
✔ NPI 1114533023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in AL · 1093
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
910 WARRIOR DR, Centre, AL 35960
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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 Gregory Revette's NPI number?

The NPI number for Gregory Revette is 1114533023. It was assigned to this individual provider in the NPPES registry on September 17, 2020.

Where is Gregory Revette located?

Gregory Revette practices at 910 Warrior Dr, Centre, AL 35960. The listed phone number is (601) 479-8614.

What is Gregory Revette's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Gregory Revette was last updated on September 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.