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

Revolution Rehabilitation and Sports Perforamance LLC

Organization Physical Therapy Clinic/Center · NPI 1720471345

Revolution Rehabilitation and Sports Perforamance LLC is a Physical Therapy Clinic/Center in Baltimore, Maryland. Licensed in Maryland. Registered with an NPI since 2015.

Licensed in
MD
In the registry since
2015
Specialties on file
2
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

1100 Russell St
Baltimore, MD 21230-2622
Phone: (301) 848-2284
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X · Licence 24069 (MD)
Physical Therapy Clinic/Center Taxonomy 261QP2000X · Licence 23944 (MD)

Record details

NPI number1720471345
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Bourdeau — Physical Therapist · (301) 848-2284
Other names Revolution Rehab
NPI enumeratedMarch 5, 2015
Last updated in NPPESApril 2, 2015
Mailing address2653 Cedar Elm Dr, Odenton, MD 21113-2905

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