REVOLUTION REHAB
NPI 1720471345
Clinic/Center - Physical Therapy in Baltimore, MD
NPI Status: Active since March 05, 2015
Contact Information
1100 RUSSELL ST
BALTIMORE, MD
ZIP 21230
Phone: (301) 848-2284
- Organization
- Clinic/Center
- Physical Therapy
About REVOLUTION REHAB
This page provides the complete NPI Profile along with additional information for Revolution Rehab, a provider established in Baltimore, Maryland operating as a Clinic/center, focusing in physical therapy . The healthcare provider is registered in the NPI registry with number 1720471345 assigned on March 2015. The practitioner's primary taxonomy code is 261QP2000X with license number 24069 (MD). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Revolution Rehab. The authorized official of this NPI record is Dr. Matthew Sean Bourdeau Dpt (Physical Therapist)
- NPI
- 1720471345
- Provider Legal Name
- REVOLUTION REHABILITATION AND SPORTS PERFORAMANCE LLC
- Other Organization Name
- REVOLUTION REHAB
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1100 RUSSELL ST BALTIMORE, MD 21230
- Location Phone
- (301) 848-2284
- Mailing Address
- 2653 CEDAR ELM DR ODENTON, MD 21113
- Mailing Phone
- (301) 848-2284
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-05-2015
- Last Update Date
- 04-02-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Physical Therapy
- Taxonomy Code
- 261QP2000X
- Type
- Ambulatory Health Care Facilities
- License No.
- 24069
- License State
- MD
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QP2000X | Ambulatory Health Care Facilities | Clinic/Center | 23944 (MD) |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 2 | 0 | 4 | 7 | 1 | 3 | 4 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 4 | 0 | 8 | 7 | 2 | 3 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 4 + 0 + 8 + 7 + 2 + 3 + 8 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1720471345 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720471345, enumerated in the NPI registry as an "organization" on March 05, 2015
The provider is located at 1100 Russell St Baltimore, Md 21230 and the phone number is (301) 848-2284
This medical organization specializes in Clinic/Center with taxonomy code 261QP2000X with a focus in Physical Therapy
This NPI record was last updated on March 05, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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