LESLIE REVILLA
NPI 1417495805
Recreation Therapist in Dallas, TX

Active since February 06, 2017
4500 S LANCASTER RD, DALLAS, TX 75216(214) 742-8387 Get Directions Write a Review

NPPES record last updated: February 6, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Leslie Revilla NPPES

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

LESLIE REVILLA (NPI 1417495805) is an individual recreation therapist in Dallas, Texas and active in the NPI registry since February 2017.

NPPES Registry Identity

NPI1417495805
Entity TypeIndividualFemale
Primary Taxonomy225800000X
Provider Legal NameLESLIE REVILLA
Location Address4500 S LANCASTER RDDallas, TX 75216-7167
Mailing Address1213 Warwick DrMesquite, TX 75150-4332
Sole ProprietorNo
Enumeration DateFebruary 6, 2017
NPI 1417495805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRecreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225800000X
Definition
A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.
4500 S LANCASTER RD, Dallas, TX 75216

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Acute Care Hospital
4500 S LANCASTER RD
DALLAS, TX 75216
Respiratory Therapist, Registered
4500 S LANCASTER RD
DALLAS, TX 75216
Respiratory Therapist, Registered
4500 S LANCASTER RD
DALLAS, TX 75216
Social Worker (Clinical)
4500 S LANCASTER RD
DALLAS, TX 75216
Psychologist (Clinical)
4500 S LANCASTER RD
DALLAS, TX 75216
Pharmacist
4500 S LANCASTER RD
DALLAS, TX 75216
Pharmacist
4500 S LANCASTER RD
DALLAS, TX 75216
Physical Therapist
4500 S LANCASTER RD
DALLAS, TX 75216

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 Leslie Revilla's NPI number?

The NPI number for Leslie Revilla is 1417495805. It was assigned to this individual provider in the NPPES registry on February 6, 2017.

Where is Leslie Revilla located?

Leslie Revilla practices at 4500 S Lancaster Rd, Dallas, TX 75216. The listed phone number is (214) 742-8387.

What is Leslie Revilla's specialty?

The primary specialty registered for this NPI is Recreation Therapist with taxonomy code 225800000X.

When was this NPI record last updated?

The NPPES record for Leslie Revilla was last updated on February 6, 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.