REVOLUTION REHAB
NPI 1720471345
Clinic/Center - Physical Therapy in Baltimore, MD

Active since March 05, 2015
1100 RUSSELL ST, BALTIMORE, MD 21230(301) 848-2284 Get Directions Write a Review

NPPES record last updated: April 2, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Revolution Rehab NPPES

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

REVOLUTION REHAB (NPI 1720471345) is a healthcare organization registered as a physical therapy in Baltimore, Maryland and active in the NPI registry since March 2015. The organization lists Matthew Sean Bourdeau, Physical Therapist, as its authorized official.

NPPES Registry Identity

NPI1720471345
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameREVOLUTION REHABILITATION AND SPORTS PERFORAMANCE LLC
Location Address1100 RUSSELL STBaltimore, MD 21230-2622
Mailing Address2653 Cedar Elm DrOdenton, MD 21113-2905 · (301) 848-2284
Organization SubpartNo
Authorized OfficialMatthew Sean BourdeauPhysical Therapist · (301) 848-2284
Enumeration DateMarch 5, 2015
Last NPPES UpdateApril 2, 2015
NPI 1720471345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
Licenses Licensed in MD · 24069 Licensed in MD · 23944
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.
1100 RUSSELL ST, Baltimore, MD 21230

Other Names 1

Doing Business AsRevolution Rehab

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 Rehabilitation And Sports Perforamance LLC's NPI number?

The NPI number for Revolution Rehabilitation And Sports Perforamance LLC is 1720471345. It was assigned to this organization in the NPPES registry on March 5, 2015. The provider is doing business as Revolution Rehab.

Where is Revolution Rehabilitation And Sports Perforamance LLC located?

Revolution Rehabilitation And Sports Perforamance LLC is located at 1100 Russell St, Baltimore, MD 21230. The listed phone number is (301) 848-2284.

What is Revolution Rehabilitation And Sports Perforamance LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Revolution Rehabilitation And Sports Perforamance LLC was last updated on April 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.