REVIVE CHIROPRACTIC INC
NPI 1063771186
Chiropractor in Lewis Center, OH
About Revive Chiropractic Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REVIVE CHIROPRACTIC INC (NPI 1063771186) is a healthcare organization registered as a chiropractor in Lewis Center, Ohio and active in the NPI registry since May 2012. The organization lists Samantha Shriner, Chiropractor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Revive Chiropractic Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Revive Chiropractic Inc, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Revive Chiropractic Inc's NPI number?
The NPI number for Revive Chiropractic Inc is 1063771186. It was assigned to this organization in the NPPES registry on May 9, 2012.
Where is Revive Chiropractic Inc located?
Revive Chiropractic Inc is located at 1258 E Powell Rd, Lewis Center, OH 43035. The listed phone number is (614) 781-8808.
What is Revive Chiropractic Inc's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Revive Chiropractic Inc enrolled in Medicare?
Yes. Revive Chiropractic Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Revive Chiropractic Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Chiropractic, reassign their Medicare billing to Revive Chiropractic Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Revive Chiropractic Inc was last updated on May 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Revive Chiropractic Inc · NPI 1063771186
Chiropractor organization in Lewis Center, Ohio. Organization record, active in the CMS NPPES registry since May 9, 2012.
## Identity
- **NPI:** 1063771186 (Entity type: Organization)
- **Enumerated:** May 9, 2012
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Samantha Shriner, CHIROPRACTOR
## Practice location
- **Address:** 1258 E POWELL RD, Lewis Center, OH 43035-8619
- **Phone:** (614) 781-8808
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Chiropractic) reassign Medicare billing to this organization (form CMS-855R); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 22, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1063771186) · Data from the CMS NPPES public registry.