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Pt Revolution Physical Therapy, PC

Physical Therapy Clinic/Center in South Lake Tahoe, CA · enumerated 2022 · authorized official Jason Collin, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1467179663

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Registry record

Entity type Organization (Type 2)
Legal business name Pt Revolution Physical Therapy, PC
Practice address 2038 Lake Tahoe Blvd, South Lake Tahoe, CA, 96150
Phone (530) 208-9910
Fax (530) 285-2001
Enumeration date Oct 27, 2022
Last updated in NPPES Apr 26, 2023

Taxonomy & classification

261QP2000X Physical Therapy Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Jason Collin
Title Owner
Phone (530) 307-3316

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Pt Revolution Physical Therapy, PC?
NPPES lists Jason Collin (Owner) as the authorized official for this organization.
What is the NPI number for Pt Revolution Physical Therapy, PC?
The NPI for Pt Revolution Physical Therapy, PC is 1467179663, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-04-26.