REVIVE CHIROPRACTIC LLC
NPI 1508551300
Chiropractor in Fort Worth, TX
About Revive Chiropractic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REVIVE CHIROPRACTIC LLC (NPI 1508551300), doing business as Revive Chiropractic, is a healthcare organization registered as a chiropractor in Fort Worth, Texas and active in the NPI registry since April 2023. The organization lists Nichole J Snyder, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 Llc 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 Chiropractic LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 1508551300. It was assigned to this organization in the NPPES registry on April 7, 2023. The provider is doing business as Revive Chiropractic.
Where is Revive Chiropractic LLC located?
Revive Chiropractic LLC is located at 12517 N Saginaw Blvd Suite 201, Fort Worth, TX 76179. The listed phone number is (817) 422-4246.
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), 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.
When was this NPI record last updated?
The NPPES record for Revive Chiropractic LLC was last updated on April 7, 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.
# Revive Chiropractic Llc · NPI 1508551300
Chiropractor organization in Fort Worth, Texas. Organization record, active in the CMS NPPES registry since April 7, 2023.
## Identity
- **NPI:** 1508551300 (Entity type: Organization)
- **Enumerated:** April 7, 2023
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Also known as:** Revive Chiropractic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Nichole Snyder, PRESIDENT
## Practice location
- **Address:** 12517 N SAGINAW BLVD, SUITE 201, Fort Worth, TX 76179
- **Phone:** (817) 422-4246 · **Fax:** (817) 288-0775
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 7, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1508551300) · Data from the CMS NPPES public registry.