Johnna Revis, PTA

Individual Active
NPI 1205202413
Physical Disabilities Residential Treatment Facility Gray Court, SC

NPI 1205202413 belongs to Johnna Revis, PTA, a physical disabilities residential treatment facility with a practice location in Gray Court, SC. The NPI was issued on August 12, 2015, and the record was last updated in NPPES on August 12, 2015.

This record hasn't been updated in NPPES since 2015. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Physical Disabilities Residential Treatment Facility Primary 320700000X 1771 (SC)

Practice location

5768 Highway 14
Gray Court, SC 29645-6764
Phone: (864) 872-2116

Local context

Active NPPES records list 2 providers with physical disabilities residential treatment facility as the primary taxonomy within 25 miles of this practice location's ZIP code, 1 of them within 10 miles.

The same primary taxonomy is listed by 6 in South Carolina and 926 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Johnna Revis
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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