REVITALIZE CHIROPRACTIC LLC
NPI 1508394396
Chiropractor in Sarasota, FL

Active since May 24, 2017
3544 CLARK RD, SARASOTA, FL 34231(941) 404-1253 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, May 24, 2017 (2 updates tracked since 2017).

About Revitalize Chiropractic Llc NPPES

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

REVITALIZE CHIROPRACTIC LLC (NPI 1508394396) is a healthcare organization registered as a chiropractor in Sarasota, Florida and active in the NPI registry since May 2017. The organization lists Jianina G Foltz, Co-owner/chiropractor, as its authorized official.

NPPES Registry Identity

NPI1508394396
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameREVITALIZE CHIROPRACTIC LLC
Location Address3544 CLARK RDSarasota, FL 34231-8408
Mailing Address3544 Clark RdSarasota, FL 34231-8408 · (941) 404-1253
Organization SubpartNo
Authorized OfficialJianina G FoltzCo-owner/chiropractor · (941) 404-1253
Enumeration DateMay 24, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1508394396 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.
3544 CLARK RD, Sarasota, FL 34231

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Revitalize 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 Revitalize Chiropractic LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Chiropractic
NPI 1376194662
3544 CLARK RD
Sarasota, FL 34231
(941) 404-1253
Same address
Chiropractic
NPI 1225564057
3544 CLARK RD
Sarasota, FL 34231
(941) 404-1253
Same address
Chiropractic
NPI 1194252924
3544 CLARK RD
Sarasota, FL 34231
(941) 404-1253
✔ Accepts MedicareSame address
Chiropractic
NPI 1366205981
7321 TAHITI RD
Jacksonville, FL 32216
(423) 834-2207
216 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 Revitalize Chiropractic LLC's NPI number?

The NPI number for Revitalize Chiropractic LLC is 1508394396. It was assigned to this organization in the NPPES registry on May 24, 2017.

Where is Revitalize Chiropractic LLC located?

Revitalize Chiropractic LLC is located at 3544 Clark Rd, Sarasota, FL 34231. The listed phone number is (941) 404-1253.

What is Revitalize Chiropractic LLC's specialty?

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

Is Revitalize Chiropractic LLC enrolled in Medicare?

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

How many clinicians bill Medicare through Revitalize Chiropractic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Chiropractic, reassign their Medicare billing to Revitalize 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, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Revitalize Chiropractic LLC accept?

Health plans from Wellpoint list Revitalize 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 Revitalize Chiropractic LLC was last updated on July 21, 2022. 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.