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

Revolution Physical Therapy Nyc PLLC

Organization Physical Therapist · NPI 1821596586

Revolution Physical Therapy Nyc PLLC provides Physical Therapist services in New York, New York. Licensed in New York. Registered with an NPI since 2018.

Licensed in
NY
In the registry since
2018
Specialties on file
2
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

165 Broadway Fl 23
New York, NY 10006-1404
Phone: (917) 922-2682
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 029251 (NY)
Physical Therapist Taxonomy 225100000X · Licence 016510 (NY)

Record details

NPI number1821596586
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Loraine Antoine — Member · (917) 363-6433
NPI enumeratedJanuary 29, 2018
Last updated in NPPESJanuary 29, 2018
Mailing address893 Myrtle Ave, Brooklyn, NY 11206-6654

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