JOHNNA REVIS PTA – NPI #1205202413
Residential Treatment Facility, Physical Disabilities
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
JOHNNA REVIS is a residential treatment facility (RTF) located in GRAY COURT, SC. NPPES has assigned the NPI number 1205202413 to JOHNNA REVIS on August 12, 2015. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 320700000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Physical Disabilities.
Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JOHNNA REVIS below.
NPI Profile for
JOHNNA REVIS
(about 11 years ago)
GRAY COURT, SC 29645-6764 Phone: (864) 872-2116 Fax:
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 320700000X - Residential Treatment Facility, Physical Disabilities (Primary) |
SC | 1771 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.