1. Home
  2. Directory
  3. Kentucky
  4. Madisonville
  5. Chiropractor
  6. NPI Profile

REVIVE CHIROPRACTIC LLC
NPI 1336853134
Chiropractor in Madisonville, KY

Active since January 06, 2023
38 RIDGEWOOD PROFESSIONAL CT, MADISONVILLE, KY 42431(270) 821-9020(270) 821-9750 Get Directions Write a Review

NPPES record last updated: January 6, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Revive Chiropractic Llc NPPES

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

REVIVE CHIROPRACTIC LLC (NPI 1336853134), doing business as Revive Chiropractic, is a healthcare organization registered as a chiropractor in Madisonville, Kentucky and active in the NPI registry since January 2023. The organization lists Cheri Carlisle, Billing/credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1336853134
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameREVIVE CHIROPRACTIC LLC
Location Address38 RIDGEWOOD PROFESSIONAL CTMadisonville, KY 42431-9486
Mailing Address38 Ridgewood Professional CtMadisonville, KY 42431-9486 · (270) 821-9020 · Fax (270) 821-9750
Phone(270) 821-9020
Fax(270) 821-9750
Organization SubpartNo
Authorized OfficialCheri CarlisleBilling/credentialing Manager · (270) 821-9020
Enumeration DateJanuary 6, 2023
NPPES CertifiedJanuary 6, 2023
✔ NPI 1336853134 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.
38 RIDGEWOOD PROFESSIONAL CT, Madisonville, KY 42431
Open in Google Maps ↗

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

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

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Revive Chiropractic LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Blake Taylor, DC
Chiropractic
NPI 1285348078
38 RIDGEWOOD PROFESSIONAL CT
Madisonville, KY 42431
(270) 821-9020
Same address
Marina Mccay, D.C.
Chiropractic
NPI 1649496654
38 RIDGEWOOD PROFESSIONAL COURT
Madisonville, KY 42431
(270) 821-9020
0.2 mi
Neal Johnson, DC
Chiropractic
NPI 1740117217
38 RIDGEWOOD PROFESSIONAL CT
Madisonville, KY 42431
(270) 821-9020
0.2 mi
Alexandria Stone, DC
Chiropractic
NPI 1053166884
38 RIDGEWOOD PROFESSIONAL CT
Madisonville, KY 42431
(270) 821-9020
0.2 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 Chiropractic LLC's NPI number?

The NPI number for Revive Chiropractic LLC is 1336853134. It was assigned to this organization in the NPPES registry on January 6, 2023. The provider is doing business as Revive Chiropractic.

Where is Revive Chiropractic LLC located?

Revive Chiropractic LLC is located at 38 Ridgewood Professional Ct, Madisonville, KY 42431. The listed phone number is (270) 821-9020.

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.

How many clinicians bill Medicare through Revive Chiropractic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Chiropractic, reassign 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. Of these, 1 practice at this address and 4 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 LLC was last updated on January 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.