Organization Active NPI

Revita Wellness PLLC

  • Home Health Agency
  • Frisco, TX
National Provider Identifier
1841001971
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
REVITA WELLNESS PLLC
Practice address
11804 Parade Dr
Frisco, TX 75036-1020
Phone
(972) 313-5017
NPI assigned
Jan 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Authorized official

Name
Sheeba Mathai
Title
NP
Phone
(972) 313-5017

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X

Addresses

Primary practice location

11804 Parade Dr
Frisco, TX 75036-1020

Mailing address

11804 Parade Dr
Frisco, TX 75036-1020

Other names 1

  • Revita wellness PLLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1737072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778630400000",
    "number": "1841001971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11804 PARADE DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750361020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11804 PARADE DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750361020",
            "telephone_number": "972-313-5017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVITA WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-17",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A",
        "authorized_official_last_name": "MATHAI",
        "authorized_official_first_name": "SHEEBA",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "972-313-5017"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Revita wellness PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Revita wellness PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; 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.