REVIVE CHIROPRACTIC AND REHABLILITATION LLC (NPI# 1538505581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538505581 |
| Entity Type | Organization |
| Organization Name | REVIVE CHIROPRACTIC AND REHABLILITATION LLC |
| Practice Address |
12875 Route 30 Suite 25 North Huntingdon PA 15642-2595 |
| Practice Telephone | 7243835576 |
| Mailing Telephone | 7243835576 |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2013-06-17 |
| Authorized Official Name | DR. PRESTON MULLENS (OWNER) |
| Authorized Official Telephone | 7243825576 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC010524 | PA | Chiropractic Providers |
| Street Address |
12875 ROUTE 30 SUITE 25 |
| City | NORTH HUNTINGDON |
| State | PA |
| Zip Code | 15642-2595 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821394172 | Preston Scott Mullens | Student in an Organized Health Care Education/Training Program | 12875 Route 30, Suite 25, North Huntingdon, PA 15642-2595 | 2011-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467929752 | Robert Michael Alexander | Pharmacist | 9161 Lucia Lane, North Huntingdon, PA 15642 | 2018-10-25 |
| 1730669987 | Jeffrey Bernard Grasmeder | Nurse Practitioner | Excela Health Penn Township Primary Care, 3520 Pa-130, Irwin, PA 15642 | 2018-08-17 |
| 1205353547 | Kristal Lynn Ross | Pharmacy | 939 Giovanni Lane, Irwin, PA 15642 | 2017-08-28 |
| 1194245860 | Continuhome Solutions, Inc. | Occupational Therapist | 7970 Route 30, North Huntingdon, PA 15642 | 2017-06-23 |
| 1972033587 | Scalise Chiropractic Pllc | Chiropractor | 12280 State Route 30, North Huntingdon, PA 15642 | 2017-06-15 |
| 1407399223 | The Homecare Company of America, Inc. | Home Health | 15071 Lincoln Highway, Rt.30 Unit A, North Huntingdon, PA 15642 | 2016-11-28 |
| 1316494909 | Glenn R Page | Pharmacist | 8731 State Route 30, North Huntingdon, PA 15642 | 2016-09-01 |
| 1952775686 | Upmc Community Medicine Inc | Non-Pharmacy Dispensing Site | 3520 State Route 130, Irwin, PA 15642 | 2015-11-18 |
| 1114395662 | Lorenzo Sellitto | Specialist/Technologist | 28 Janette Circle, Irwin, PA 15642 | 2015-09-14 |
| 1679960033 | Katelyn Marie Macik | Family Medicine | 4044 Route 130 Ste 200, Irwin, PA 15642 | 2015-04-22 |
| Find all providers in zip 15642 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972033587 | Scalise Chiropractic Pllc | Chiropractor | 12280 State Route 30, North Huntingdon, PA 15642 | 2017-06-15 |
| 1629311709 | Revive Chiropractic and Rehabilitation LLC | Chiropractor | 12875 Route 30 Ste 25, North Huntingdon, PA 15642-2595 | 2013-03-27 |
| 1336324052 | Bailey Chiropractic Inc | Chiropractor | 11599 Parkway Drive, North Huntingdon, PA 15642 | 2007-12-31 |
| 1093935280 | Healthpoint Chiropractic, PC | Chiropractor | 12381 Route 30 W, Suite B, North Huntingdon, PA 15642-1850 | 2007-04-27 |
| 1003839481 | Capuano Chiropractic, LLC | Chiropractor | 8800 Barnes Lake Road, Suite 300, North Huntingdon, PA 15642 | 2006-07-26 |
| 1851331763 | William F Scalise | Chiropractor | 12280 Lincoln Hwy, North Huntingdon, PA 15642 | 2006-06-08 |
| 1285674101 | Kenneth G Johnson | Chiropractor | 12280 Lincoln Highway, North Huntingdon, PA 15642 | 2006-06-08 |
| 1659334340 | Melvin J Kukich | Chiropractor | 212 Robbins Station Rd, North Huntingdon, PA 15642-2204 | 2006-04-11 |
| 1972570380 | Pedrow Chiropractic Centers PC | Chiropractor | 14429 Route 30, North Huntingdon, PA 15642 | 2006-03-03 |
| 1235117235 | Mark Charles Huss | Chiropractor | 11347 Route 30, Suite #3, North Huntingdon, PA 15642-2024 | 2006-01-09 |
| Find all providers in NORTH HUNTINGDON | ||||
| City | NORTH HUNTINGDON |
| Zip Code | 15642 |
Please comment or provide details below to improve the information on REVIVE CHIROPRACTIC AND REHABLILITATION LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.