REVOLUTION SPORT & SPINE THERAPY LLC
NPI 1598215170
Physical Therapist - Orthopedic in Soldotna, AK
About Revolution Sport & Spine Therapy Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REVOLUTION SPORT & SPINE THERAPY LLC (NPI 1598215170) is a healthcare organization registered as an orthopedic in Soldotna, Alaska and active in the NPI registry since October 2016. The organization lists Mark Cunningham, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Revolution Sport & Spine Therapy Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
25Medicare enrollment records show 25 clinicians reassign Medicare billing to Revolution Sport & Spine Therapy LLC, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 12 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 2
Nearest to this location (20)
See all 25Source: 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 Revolution Sport & Spine Therapy LLC's NPI number?
The NPI number for Revolution Sport & Spine Therapy LLC is 1598215170. It was assigned to this organization in the NPPES registry on October 7, 2016.
Where is Revolution Sport & Spine Therapy LLC located?
Revolution Sport & Spine Therapy LLC is located at 35249 Kenai Spur Hwy Suite C, Soldotna, AK 99669. The listed phone number is (541) 913-3089.
What is Revolution Sport & Spine Therapy LLC's specialty?
The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.
Is Revolution Sport & Spine Therapy LLC enrolled in Medicare?
Yes. Revolution Sport & Spine Therapy LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Revolution Sport & Spine Therapy LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 25 clinicians in 2 Medicare specialties reassign their Medicare billing to Revolution Sport & Spine Therapy LLC. 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. The largest specialties are Physical Therapist in Private Practice (22) and Occupational Therapist in Private Practice (3). Of these, 7 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Revolution Sport & Spine Therapy LLC accept?
Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Revolution Sport & Spine Therapy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Revolution Sport & Spine Therapy LLC was last updated on June 10, 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.
# Revolution Sport & Spine Therapy Llc · NPI 1598215170
Orthopedic organization in Soldotna, Alaska. Organization record, active in the CMS NPPES registry since October 7, 2016.
## Identity
- **NPI:** 1598215170 (Entity type: Organization)
- **Enumerated:** October 7, 2016
- **Primary specialty:** Physical Therapist - Orthopedic · taxonomy 2251X0800X
- **Organization subpart:** No
- **Authorized official:** Mark Cunningham, CEO
## Practice location
- **Address:** 35249 KENAI SPUR HWY, SUITE C, Soldotna, AK 99669-7623
- **Phone:** (541) 913-3089
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 25 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Physical Therapist in Private Practice (22), Occupational Therapist in Private Practice (3); 7 practice at this address and 12 within 10 miles; [full list](https://npiprofile.com/npi/1598215170/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 10, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1598215170) · Data from the CMS NPPES public registry.