Revamp Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

REVAMP CHIROPRACTIC

Practice address

15930 US Highway 441 Ste B
Eustis, FL 32726-6552

Phone

(352) 663-2778

NPI assigned

Jul 19, 2025

Organization subpart

No

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

Authorized official

Name

Cameron Kelly, DCNPI 1104605666

Title

Owner/Chiropractor

Phone

(352) 663-2778

Specialties & licenses 1

Addresses

Other names 1

• Revamp Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

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.

• Cameron Ryan Kelly, DC

  • Student in an Organized Health Care Education/Training Program
  • Mount Dora, FL
  • NPI 1104605666

  Chiropractor

  Medicare reassignment NPD Authorized official
• Whitney Robin Kelly, DC

  • Chiropractor
  • Mount Dora, FL
  • NPI 1245016286
  NPD

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

{
    "created_epoch": "1752883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752883200000",
    "number": "1710879002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 STANLEY BELL DR",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327575919",
            "telephone_number": "407-937-9674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15930 US HIGHWAY 441 STE B",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327266552",
            "telephone_number": "352-663-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVAMP CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-19",
        "last_updated": "2025-07-19",
        "certification_date": "2025-07-14",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "CAMERON",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "352-663-2778",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Revamp Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sharon D Ray, LMT
• Tenisha Reed-McCall
• Robyn Lee Reese, DO
• Regency Park Assisted Living Ops LLC
• John R. Renick, PHARM. D.
• Lisa Ann Rex
• Haydee M Reyes, RBT-24-329407
• Molly Richardson
• Right on Time Homecare
• Right on Time Homecare

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2025; 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.