Revive Management Company LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

REVIVE MANAGEMENT COMPANY LLC

Practice address

9250 Glades Rd Ste 111
Boca Raton, FL 33434-3958

Phone

(561) 479-2880

NPI assigned

Mar 5, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Christina Perry

Title

President

Phone

(702) 327-2307

Specialties & licenses 1

Addresses

Other names 1

• Boca Chiropractic Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551744000000",
    "number": "1013475409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9250 GLADES RD STE 111",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334343958",
            "telephone_number": "561-479-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 GLADES RD STE 111",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334343958",
            "telephone_number": "561-479-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE MANAGEMENT COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-05",
        "last_updated": "2019-03-05",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-327-2307",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boca Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Inna Revich
• Revival Health Services LLC
• Revival Therapy LLC
• Revive Counseling LLC
• Revive Family Chiropractic LLC
• Revivify Dermatology, LLC
• Martha Lorena Revollo, M.D.
• Revolution Physical Therapy, LLC
• Jessica Revord, BCBA
• Kelly Lauren Reyer, PHARMD

• Chiropractor in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.