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

Revolution Physical Therapy LLC

Organization Physical Therapist · NPI 1518469063

Revolution Physical Therapy LLC is a Physical Therapist in Southaven, Mississippi. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5847 Getwell Rd Ste A5
Southaven, MS 38672-6816
Phone: (662) 349-9288
Fax: (662) 349-9289
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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 number1518469063
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Graham — Owner · (662) 349-9288
NPI enumeratedMarch 1, 2018
Last updated in NPPESApril 29, 2026
Certification dateApril 29, 2026
Mailing address5847 Getwell Rd Ste A5, Southaven, MS 38672-6816

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