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REVIVE CHIROPRACTIC
NPI 1285202143
Chiropractor in Owen, WI

Active since June 16, 2021
107 S HARDING ST, OWEN, WI 54460(715) 229-0262 Get Directions Write a Review

NPPES record last updated: November 11, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 11, 2021, Oct 19, 2021, Jun 16, 2021 (3 updates tracked since 2021).

About Revive Chiropractic NPPES

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

REVIVE CHIROPRACTIC (NPI 1285202143) is a healthcare organization registered as a chiropractor in Owen, Wisconsin and active in the NPI registry since June 2021. The organization lists Adam Joshua Carr, Owner/ao, as its authorized official.

NPPES Registry Identity

NPI1285202143
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameREVIVE CHIROPRACTIC LLC
Location Address107 S HARDING STOwen, WI 54460-9737
Mailing AddressPo Box 99Owen, WI 54460-0099 · (715) 229-0262
Phone(715) 229-0262
Organization SubpartNo
Authorized OfficialAdam Joshua CarrOwner/ao · (978) 851-0515
Enumeration DateJune 16, 2021
Last NPPES UpdateNovember 11, 20213 updates tracked since enumeration
NPPES CertifiedNovember 11, 2021
✔ NPI 1285202143 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.
107 S HARDING ST, Owen, WI 54460
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Other Names 1

Doing Business AsRevive 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 Aspirus Health Plan, HealthPartners, Security Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateWisconsinEnrollment IDO20211207000603Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

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

Clinician (1)

Adam Carr, DC
Chiropractic
NPI 1548772247
107 S HARDING ST
Owen, WI 54460
(715) 229-2113
✔ Accepts MedicareSame address

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 LLC's NPI number?

The NPI number for Revive Chiropractic LLC is 1285202143. It was assigned to this organization in the NPPES registry on June 16, 2021. The provider is doing business as Revive Chiropractic.

Where is Revive Chiropractic LLC located?

Revive Chiropractic LLC is located at 107 S Harding St, Owen, WI 54460. The listed phone number is (715) 229-0262.

What is Revive Chiropractic LLC's specialty?

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

Is Revive Chiropractic LLC enrolled in Medicare?

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

When is Revive Chiropractic LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Wisconsin, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Revive Chiropractic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Revive 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 Chiropractic LLC accept?

Health plans from Aspirus Health Plan, HealthPartners and Security Health Plan list Revive 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 Chiropractic LLC was last updated on November 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.