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

Chasity Faith Revilla

Individual provider Occupational Therapy Assistant · NPI 1750081303

Chasity Faith Revilla is an Occupational Therapy Assistant in Kingsport, Tennessee. Licensed in Tennessee and Virginia. Registered with an NPI since 2023.

Licensed in
TN, VA
In the registry since
2023
Specialties on file
2

Practice location Address checks out

2300 Pavilion Dr
Kingsport, TN 37660-4622
Phone: (423) 765-9655
Fax: (423) 392-4795
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 3806 (TN)
Occupational Therapy Assistant Taxonomy 224Z00000X · Licence 0131002686 (VA)

Record details

NPI number1750081303
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 2, 2023
Last updated in NPPESMarch 2, 2023
Certification dateMarch 2, 2023

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