Revive Chiropractic Care, LLC.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

REVIVE CHIROPRACTIC CARE, LLC.

Practice address

3151 Fish Hatchery Rd
Fitchburg, WI 53713

Phone

(620) 794-7234

NPI assigned

Jun 16, 2022

Organization subpart

No

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

Authorized official

Name

Madison Reiber, DCNPI 1346719796

Title

Chiropractor

Phone

(620) 794-7234

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Madison Nichole Reiber, DC

  • Chiropractor
  • Fitchburg, WI
  • NPI 1346719796
  Medicare reassignment Care Compare group NPD Authorized official
• Samantha Jo Neilsen, DC

  • Chiropractor
  • Rockford, IL
  • NPI 1083414528

  WI

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655337600000",
    "number": "1073243457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3609 TURA RD",
            "city": "MCFARLAND",
            "state": "WI",
            "postal_code": "535589130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3151 FISH HATCHERY RD",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "53713",
            "telephone_number": "620-794-7234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE CHIROPRACTIC CARE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-01",
        "status": "A",
        "authorized_official_last_name": "REIBER",
        "authorized_official_first_name": "MADISON",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "620-794-7234",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Nichole Reiber, DC
• Richard M Reich, MD
• Emily Dolores Reinstad, NP
• Nancy Ann Renier, RN
• Margaret Renninger, LPC-IT
• Rachel E Reynders, MSW, LCSW
• Rhythmic Connections LLC
• Daniel Ricci, PHARMD
• Lily Juliet Rice, RD
• Patricia J Richardson, D.D.S.

• Chiropractor in Fitchburg, WI
• Providers in Fitchburg, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.