1. Home
  2. Directory
  3. Michigan
  4. Milford
  5. Chiropractor
  6. NPI Profile

REVIVE FAMILY CHIROPRACTIC
NPI 1073385597
Chiropractor in Milford, MI

Active since October 27, 2023
1203 N MILFORD RD, MILFORD, MI 48381(248) 714-6127(248) 714-6128 Get Directions Write a Review

NPPES record last updated: December 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 7, 2023, Oct 31, 2023, Oct 27, 2023 (3 updates tracked since 2023).

About Revive Family Chiropractic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REVIVE FAMILY CHIROPRACTIC (NPI 1073385597) is a healthcare organization registered as a chiropractor in Milford, Michigan and active in the NPI registry since October 2023. The organization lists Shawnee Mangino, Owner, as its authorized official.

NPPES Registry Identity

NPI1073385597
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameREVIVE FAMILY CHIROPRACTIC LLC
Location Address1203 N MILFORD RDMilford, MI 48381-1033
Mailing Address306 S Alp StBay City, MI 48706-4271 · (575) 207-5757
Phone(248) 714-6127
Fax(248) 714-6128
Organization SubpartNo
Authorized OfficialShawnee ManginoOwner · (575) 207-5757
Enumeration DateOctober 27, 2023
Last NPPES UpdateDecember 7, 20233 updates tracked since enumeration
NPPES CertifiedDecember 7, 2023
✔ NPI 1073385597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1203 N MILFORD RD, Milford, MI 48381
Open in Google Maps ↗

Other Names 1

Doing Business AsRevive Family Chiropractic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

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 Family Chiropractic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Revive Family Chiropractic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Shawnee Mangino, DC
Chiropractic
NPI 1356844310
214 W WACKERLY ST STE 100
Midland, MI 48640
(989) 837-5998
✔ Accepts Medicare79 mi

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 Family Chiropractic LLC's NPI number?

The NPI number for Revive Family Chiropractic LLC is 1073385597. It was assigned to this organization in the NPPES registry on October 27, 2023. The provider is doing business as Revive Family Chiropractic.

Where is Revive Family Chiropractic LLC located?

Revive Family Chiropractic LLC is located at 1203 N Milford Rd, Milford, MI 48381. The listed phone number is (248) 714-6127.

What is Revive Family Chiropractic LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Revive Family Chiropractic LLC enrolled in Medicare?

Yes. Revive Family Chiropractic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Revive Family Chiropractic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Revive Family Chiropractic LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Revive Family Chiropractic LLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Revive Family Chiropractic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Revive Family Chiropractic LLC was last updated on December 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.