REVOLUTION SPORT & SPINE THERAPY LLC
NPI 1598215170
Physical Therapist - Orthopedic in Soldotna, AK

Q: 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.

Q: 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.

Active since October 07, 2016

35249 KENAI SPUR HWY, SUITE C, SOLDOTNA, AK 99669(541) 913-3089 Get Directions Write a Review

NPPES record last updated: June 10, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

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

NPI1598215170

Entity TypeOrganization

Primary Taxonomy2251X0800X

Legal Business NameREVOLUTION SPORT & SPINE THERAPY LLC

Location Address35249 KENAI SPUR HWY, SUITE CSoldotna, AK 99669-7623

Mailing Address35249 Kenai Spur Hwy, Suite CSoldotna, AK 99669-7623 · (907) 420-0836 · Fax (907) 420-0837

Phone(541) 913-3089

Organization SubpartNo

Authorized OfficialMark CunninghamCeo · (907) 420-0836

Enumeration DateOctober 7, 2016

Last NPPES UpdateJune 10, 2017

✔ NPI 1598215170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251X0800X

License✔ Licensed in AK · 1042783

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

35249 KENAI SPUR HWY, Soldotna, AK 99669

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska.Insurance ›

Other Providers at the Same Location NPPES 7

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

LUIS ENRIQUE REYES MENDIETA

Physical Therapist

35249 KENAI SPUR HWY
SOLDOTNA, AK 99669

Kenai Peninsula Borough (907) 781-3227

ANGELA HARTER

Occupational Therapist

35249 KENAI SPUR HWY, UNIT C
SOLDOTNA, AK 99669

Kenai Peninsula Borough (074) 200-8369

LAUREN ELIZABETH ANNE CLARKSON LMT

Massage Therapist

35249 KENAI SPUR HWY
SOLDOTNA, AK 99669

Kenai Peninsula Borough (907) 690-2892

MIRA M SIMONSON PT

Physical Therapist (Orthopedic)

35249 KENAI SPUR HWY, STE C
SOLDOTNA, AK 99669

Kenai Peninsula Borough (907) 420-0836

DR. BRYAN D FRAPP PT, DPT

Physical Therapist

35249 KENAI SPUR HWY, SUITE C
SOLDOTNA, AK 99669

Kenai Peninsula Borough (806) 392-1773

MARK E CUNNINGHAM PT

Physical Therapist (Neurology)

35249 KENAI SPUR HWY, STE C
SOLDOTNA, AK 99669

Kenai Peninsula Borough (541) 913-3089

MAVRICK KUZMIN DPT

Physical Therapist (Orthopedic)

35249 KENAI SPUR HWY, SUITE C
SOLDOTNA, AK 99669

Kenai Peninsula Borough (907) 420-0836

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.

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.