P Praxis·MD
● Active Type 1 · Individual

Leslie Revilla

Recreation Therapist·Dallas, TX· NPI 1417495805 · Enumerated 2017 · 9 years on NPI
Revilla is 1 of 21 recreation therapist providers in Dallas and 1 of 170 in Texas.
NPI age
9 years
Enumerated 2017-02-06
Primary specialty
Recreation Therapist
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2017-02-06
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 170 active recreation therapist providers in Texas.

NPI age
9 years
↑ 4 yr above median (5 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
0
9% of peers hold subspecialties

NPI lifetime · 2017 → 2026

2017-02Enumerated in NPPES
2017 2026

Where they practice

Practice location
4500 S Lancaster Rd
Dallas, TX 752167167
📞 2147428387
Mailing address
1213 Warwick Dr
Mesquite, TX 751504332

Specialties

  • Recreation Therapist Primary
    A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.
    taxonomy 225800000X

Practice context

Part of a multi-provider practice. 1026 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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