Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Revolution Health and Performance, PLLC

Organization Physical Therapist · NPI 1215689641

Revolution Health and Performance, PLLC is a Physical Therapist in Springfield, Illinois. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

192 Wisteria Dr
Springfield, IL 62711-9258
Phone: (913) 967-9215
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1215689641
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Rebeck — Physical Therapist · (913) 967-9215
NPI enumeratedJanuary 26, 2022
Last updated in NPPESJanuary 26, 2022
Certification dateJanuary 26, 2022
Mailing address192 Wisteria Dr, Springfield, IL 62711-9258

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