REVAMP PHYSICAL THERAPY, INC
NPI 1215464185
Clinic/Center - Physical Therapy in Glendale, CA

Active since May 22, 2017
805 E BROADWAY STE A, GLENDALE, CA 91205(818) 254-8792 Get Directions Write a Review

NPPES record last updated: May 22, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Revamp Physical Therapy, Inc NPPES

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

REVAMP PHYSICAL THERAPY, INC (NPI 1215464185) is a healthcare organization registered as a physical therapy in Glendale, California and active in the NPI registry since May 2017. The organization lists Babken Sarkissian, President, as its authorized official.

NPPES Registry Identity

NPI1215464185
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameREVAMP PHYSICAL THERAPY, INC
Location Address805 E BROADWAY STE AGlendale, CA 91205-4527
Mailing Address805 E Broadway Ste AGlendale, CA 91205-4527 · (818) 254-8792
Organization SubpartNo
Authorized OfficialBabken SarkissianPresident · (818) 254-8792
Enumeration DateMay 22, 2017
✔ NPI 1215464185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
License✔ Licensed in CA · PT291985
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.
805 E BROADWAY STE A, Glendale, CA 91205

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, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Revamp Physical Therapy, Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Physical Therapist in Private Practice
NPI 1538606538
805 E BROADWAY STE A
Glendale, CA 91205
(818) 254-8792
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1629602230
1000 N CENTRAL AVE STE 110
Glendale, CA 91202
(818) 243-8422
✔ Accepts Medicare1.1 mi

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, Inc's NPI number?

The NPI number for Revamp Physical Therapy, Inc is 1215464185. It was assigned to this organization in the NPPES registry on May 22, 2017.

Where is Revamp Physical Therapy, Inc located?

Revamp Physical Therapy, Inc is located at 805 E Broadway Ste A, Glendale, CA 91205. The listed phone number is (818) 254-8792.

What is Revamp Physical Therapy, Inc's specialty?

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

Is Revamp Physical Therapy, Inc enrolled in Medicare?

Yes. Revamp Physical Therapy, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Revamp Physical Therapy, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Revamp Physical Therapy, Inc. 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. Of these, 1 practice at this address and 2 within 10 miles. 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, Inc was last updated on May 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.