REVOLUTION RUNNING PHYSICAL THERAPY,PLLC
NPI 1982292900
Physical Therapist in Holbrook, NY

Active since January 05, 2021
971 MAIN ST, HOLBROOK, NY 11741(516) 376-9202 Get Directions Write a Review

NPPES record last updated: February 23, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Feb 23, 2021, Jan 5, 2021 (2 updates tracked since 2021).

About Revolution Running Physical Therapy,pllc NPPES

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

REVOLUTION RUNNING PHYSICAL THERAPY,PLLC (NPI 1982292900) is a healthcare organization registered as a physical therapist in Holbrook, New York and active in the NPI registry since January 2021. The organization lists Natalie Niemczyk, Owner, as its authorized official.

NPPES Registry Identity

NPI1982292900
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameREVOLUTION RUNNING PHYSICAL THERAPY,PLLC
Location Address971 MAIN STHolbrook, NY 11741-1609
Mailing Address971 Main StHolbrook, NY 11741-1609 · (516) 376-9202
Organization SubpartNo
Authorized OfficialNatalie NiemczykOwner · (516) 376-9202
Enumeration DateJanuary 5, 2021
Last NPPES UpdateFebruary 23, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2021
✔ NPI 1982292900 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
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.
971 MAIN ST, Holbrook, NY 11741

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

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 Running Physical Therapy,pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Revolution Running Physical Therapy,pllc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Therapist in Private Practice
NPI 1568823037
191 PATCHOGUE YAPHANK RD
East Patchogue, NY 11772
(631) 775-0971
5.6 mi

Source: 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 Running Physical Therapy,pllc's NPI number?

The NPI number for Revolution Running Physical Therapy,pllc is 1982292900. It was assigned to this organization in the NPPES registry on January 5, 2021.

Where is Revolution Running Physical Therapy,pllc located?

Revolution Running Physical Therapy,pllc is located at 971 Main St, Holbrook, NY 11741. The listed phone number is (516) 376-9202.

What is Revolution Running Physical Therapy,pllc's specialty?

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

Is Revolution Running Physical Therapy,pllc enrolled in Medicare?

Yes. Revolution Running Physical Therapy,pllc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Revolution Running Physical Therapy,pllc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Revolution Running Physical Therapy,pllc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Revolution Running Physical Therapy,pllc was last updated on February 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.