| Revolution Incorporated | |
|
5860 Yadkin Rd, Fayetteville, NC 28303-2668 | |
| (910) 491-5164 | |
| (910) 229-3227 |
| Full Name | Revolution Incorporated |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 5860 Yadkin Rd, Fayetteville, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164921862 | NPI | - | NPPES |
| Provider Name | Shanna Scott Thurman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528031275 PECOS PAC ID: 5294811386 Enrollment ID: I20080401000093 |
| Provider Name | Tremayne T Thurman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457414823 PECOS PAC ID: 6103902291 Enrollment ID: I20080401000108 |
| Provider Name | Kristopher Rashard Williams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710370093 PECOS PAC ID: 0648583351 Enrollment ID: I20150723007473 |
| Provider Name | Johanna Caroline Provencher |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508481938 PECOS PAC ID: 4587087762 Enrollment ID: I20200707000376 |
| Provider Name | Alyssa Leigh Williams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083224174 PECOS PAC ID: 4183040256 Enrollment ID: I20200819003445 |
| Provider Name | Naemi Mendoza Gunter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083100929 PECOS PAC ID: 4284040015 Enrollment ID: I20210303000215 |
| Provider Name | Kirsten Brooke Rayner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083228746 PECOS PAC ID: 8224427315 Enrollment ID: I20211110003259 |
| Provider Name | Sarah Manuel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578852737 PECOS PAC ID: 4183019300 Enrollment ID: I20220324001105 |
| Provider Name | Yvonne Lynn Bonner |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033252531 PECOS PAC ID: 9436306289 Enrollment ID: I20220513002353 |
| Provider Name | Joyous Hawkins |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942814074 PECOS PAC ID: 2163804394 Enrollment ID: I20220803003155 |
| Provider Name | Gabrielle Odor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770201980 PECOS PAC ID: 8022484054 Enrollment ID: I20221017002148 |
| Provider Name | Falguni Vaidya |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619469319 PECOS PAC ID: 4587097845 Enrollment ID: I20221031001428 |
| Provider Name | Katherine Peters |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679198329 PECOS PAC ID: 4385066950 Enrollment ID: I20221109003468 |
| Provider Name | Brittany Jean Dunham |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1831770841 PECOS PAC ID: 3375915044 Enrollment ID: I20230206001481 |
| Provider Name | Lauren Regeimbal |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659670602 PECOS PAC ID: 9537492293 Enrollment ID: I20230622002470 |
| Mailing Address | Practice Location Address |
|---|---|
| Revolution Incorporated 5310 Yadkin Rd, Fayetteville, NC 28303-3255 Ph: (910) 491-5164 | Revolution Incorporated 5860 Yadkin Rd, Fayetteville, NC 28303-2668 Ph: (910) 491-5164 |
Miss Roxanne King, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1700 Pamalee Drive, Fayetteville, NC 28303 Phone: 910-488-2295 | |
Kristi Wilkins, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1289 Oliver St, Fayetteville, NC 28304 Phone: 910-483-8331 Fax: 910-483-8335 | |
Dale Anthony Gallo Jr., DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4140 Ferncreek Dr Ste 802, Fayetteville, NC 28314 Phone: 910-484-2171 Fax: 910-484-4568 | |
Michael Andrew Slack, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1712 Owen Dr, Fayetteville, NC 28304 Phone: 910-483-9300 Fax: 910-483-9302 | |
Bridget Maley, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7532 Wilkins Dr, Fayetteville, NC 28311 Phone: 910-868-6000 | |
Matthew Gregory Prindle, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3401 Village Dr Ste 101, Fayetteville, NC 28304 Phone: 910-483-9300 Fax: 910-483-9302 | |
Casandra Heather Canterbury, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 501 Executive Pl, Fayetteville, NC 28305 Phone: 910-423-5550 Fax: 910-423-5552 |