Revitalize Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

REVITALIZE CHIROPRACTIC LLC

Practice address

3544 Clark Rd
Sarasota, FL 34231-8408

Phone

(941) 404-1253

NPI assigned

May 24, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Jianina G Foltz, DCNPI 1225564057

Title

Co-Owner/Chiropractor

Phone

(941) 404-1253

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 5

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

• Jianina Gabriela Foltz, D.C.

  • Chiropractor
  • Sarasota, FL
  • NPI 1225564057
  Medicare reassignment Authorized official
• Kelly Marie McGee Johnson, D.C.

  • Chiropractor
  • Sarasota, FL
  • NPI 1376194662
  Medicare reassignment NPD
• Brooke Alexandra Lonic, DC

  • Chiropractor
  • Jacksonville, FL
  • NPI 1366205981
  Medicare reassignment NPD
• Anthony Russell Wasem, D.C.

  • Chiropractor
  • Sarasota, FL
  • NPI 1194252924
  Medicare reassignment
• Lauren Ackerman, DC

  • Chiropractor
  • Sarasota, FL
  • NPI 1134829575
  NPD

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

{
    "created_epoch": "1495584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1508394396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3544 CLARK RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342318408",
            "telephone_number": "941-404-1253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3544 CLARK RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342318408",
            "telephone_number": "941-404-1253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVITALIZE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FOLTZ",
        "authorized_official_first_name": "JIANINA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CO-OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "941-404-1253",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda C Reuben- Khan, ARNP
• Bethany Lee Reul
• Lilarie Reulet, M.A., C.A.P.
• Todd John Reuter, D.M.D., M.D.
• Sharon Marie Revels, ARNP
• Revitalized Health
• Revival Health
• Ashley Reyes
• Fermin Francisco Reyes
• Melissa Reyes

• Chiropractor in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.