Revolution Incorporated
NPI 1164921862ActiveOrganization· Physical Therapist· Fayetteville, NC
Physical Therapist in Fayetteville, North Carolina, registered in NPPES in February 2018. The authorized official on file is Tremayne T. Thurman, AS, MRS, OTR/L, Managing Director. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1164921862 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 8, 2018 |
| Last updated in NPPES | Jan 23, 2023 |
| Certified by provider | Jan 23, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 9225 | NC |
| Occupational Therapist | 225X00000X | 5574 | NC |
| Speech-Language Pathologist | 235Z00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (NC) |
|---|
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