ANDREW PHILLIP REVAK DPT
NPI 1659729929
Physical Therapist in Cumberland, WI

Active since May 27, 2016
1705 16TH AVE, CUMBERLAND, WI 54829(715) 822-7300(715) 822-7301 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 21, 2026, Oct 15, 2018 (2 updates tracked since 2018).

About Andrew Phillip Revak Dpt NPPES

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

ANDREW PHILLIP REVAK DPT (NPI 1659729929) is an individual physical therapist in Cumberland, Wisconsin, licensed in Wisconsin (13378-24) and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1659729929
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameANDREW PHILLIP REVAKCredential: DPT
Location Address1705 16TH AVECumberland, WI 54829-8601
Mailing Address1705 16th AveCumberland, WI 54829-8601 · (715) 822-7300 · Fax (715) 822-7301
Fax(715) 822-7301
Sole ProprietorNo
Enumeration DateMay 27, 2016
Last NPPES UpdateApril 21, 20262 updates tracked since enumeration
NPPES CertifiedApril 21, 2026
✔ NPI 1659729929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in WI · 13378-24
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1705 16TH AVE, Cumberland, WI 54829

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew Phillip Revak Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Andrew Revak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Critical Access
1705 16TH AVE
Cumberland, WI 54829
  • Reassigned Medicare billing, Wisconsin enrollment
  • 23 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Nurse Practitioner (Family)
1705 16TH AVE
CUMBERLAND, WI 54829
Family Medicine
1705 16TH AVE
CUMBERLAND, WI 54829
Pharmacy (Community/Retail Pharmacy)
1705 16TH AVE
CUMBERLAND, WI 54829
Physical Therapist
1705 16TH AVE
CUMBERLAND, WI 54829
Physical Therapist
1705 16TH AVE
CUMBERLAND, WI 54829
Nurse Practitioner (Family)
1705 16TH AVE
CUMBERLAND, WI 54829
Nurse Practitioner
1705 16TH AVE
CUMBERLAND, WI 54829
Occupational Therapy Assistant
1705 16TH AVE
CUMBERLAND, WI 54829

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 Andrew Revak's NPI number?

The NPI number for Andrew Revak is 1659729929. It was assigned to this individual provider in the NPPES registry on May 27, 2016.

Where is Andrew Revak located?

Andrew Revak practices at 1705 16th Ave, Cumberland, WI 54829. The listed phone number is (715) 822-7300.

What is Andrew Revak's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Andrew Revak enrolled in Medicare?

Yes. Andrew Revak is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Andrew Revak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Revak reassigns Medicare benefits to Cumberland Memorial Hospital Inc (Cumberland, WI). The 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 Andrew Revak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Andrew Revak was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.