NPIMap

Organization Active NPI

Revitalize Health and Wellness PLLC

  • Chiropractor
  • Gilbert, AZ
National Provider Identifier
1649706623
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8325 Issued in AZ
Legal business name
REVITALIZE HEALTH AND WELLNESS PLLC
Practice address
725 W Elliot Rd
Suite 114
Gilbert, AZ 85233-5301
Phone
(480) 545-0000
NPI assigned
May 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Authorized official

Name
Curtis Casady, DONPI 1972588218
Title
Owner
Phone
(480) 462-2926

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 8325 AZ Primary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
Pharmacy 333600000X

Addresses

Primary practice location

725 W Elliot Rd
Suite 114
Gilbert, AZ 85233-5301

Mailing address

725 W Elliot Rd
Suite 114
Gilbert, AZ 85233-5301
Phone (480) 545-0000

National Provider Directory

National Provider Directory

Locations

725 W Elliot Rd
Ste 114
Gilbert, AZ 85233
Phone (480) 545-0000

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694131200000",
    "number": "1649706623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 W ELLIOT RD",
            "address_2": "SUITE 114",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852335301",
            "telephone_number": "480-545-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 W ELLIOT RD",
            "address_2": "SUITE 114",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852335301",
            "telephone_number": "480-545-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVITALIZE HEALTH AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A",
        "authorized_official_last_name": "CASADY",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-462-2926",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8325",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.