MEDICARE: REVAMPFIT LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	225800000X	Recreation Therapist
2	235500000X	Speech/Language/Hearing Specialist/Technologist
3	172V00000X	Community Health Worker
4	133NN1002X	Nutrition Education Nutritionist
5	207QS0010X	Sports Medicine (Family Medicine) Physician
6	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care
7	261QD1600X	Developmental Disabilities Clinic/Center
8	372600000X	Adult Companion
9	225X00000X	Occupational Therapist
10	385HR2065X	Child Physical Disabilities Respite Care
11	2255A2300X	Athletic Trainer

General Provider Information

NPI Number	:	1336732940
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REVAMPFIT LLC

Provider Business Mailing Address
First Line	:	9327 FRASER AVE
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-1228
Country	:	US
Telephone Number	:	929-422-8493
Fax Number	:

Provider Business Practice Location Address
First Line	:	9327 FRASER AVE
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-1228
Country	:	US
Telephone Number	:	929-422-8493
Fax Number	:

Authorized Official
Title or Position	:	OWNER/FOUNDER
Name	:	MR. ABEL ASAFERE
Credential	:
Telephone Number	:	929-422-8493

Provider Enumeration Date	:	02/15/2021
Last Update Date	:	05/04/2026

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Directions to “REVAMPFIT LLC ” Practice Location

Language	Start Address	Practice Location

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