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REVIVE CHIROPRACTIC, LLC
NPI 1548773708
Chiropractor in Pottsville, PA

Active since November 09, 2017CLIA 39D2280782 · Waiver
2205 W MARKET ST, POTTSVILLE, PA 17901(570) 621-4390(570) 621-4296 Get Directions Write a Review

NPPES record last updated: April 11, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 11, 2019, Mar 20, 2018, Nov 9, 2017 (3 updates tracked since 2017).

About Revive Chiropractic, Llc NPPES

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

REVIVE CHIROPRACTIC, LLC (NPI 1548773708) is a healthcare organization registered as a chiropractor in Pottsville, Pennsylvania and active in the NPI registry since November 2017. The organization holds a CLIA Waiver certificate valid through April 25, 2027 and lists Brandon Aucker, Owner, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1548773708
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameREVIVE CHIROPRACTIC, LLC
Location Address2205 W MARKET STPottsville, PA 17901-1803
Mailing Address2205 W Market StPottsville, PA 17901-1803 · (570) 621-4390 · Fax (570) 621-4296
Phone(570) 621-4390
Fax(570) 621-4296
Organization SubpartNo
Authorized OfficialBrandon AuckerOwner, Office Manager · (570) 621-4390
Enumeration DateNovember 9, 2017
Last NPPES UpdateApril 11, 20193 updates tracked since enumeration
✔ NPI 1548773708 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.
2205 W MARKET ST, Pottsville, PA 17901
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Other Identifiers 1

Other1548773708PA · Npi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2280782

Revive Chiropractic · Pottsville, PA
Active · expires Apr 25, 2027
CLIA Number39D2280782
Laboratory TypePhysician Office
Certificate Effective DateApril 26, 2025
Certificate Expiration DateApril 25, 2027
Laboratory DirectorDr. Brandon E. Aucker
Laboratory Phone(570) 621-4390
Laboratory LocationRevive Chiropractic2205 W Market St, Pottsville, PA 17901
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1548773708. It was assigned to this organization in the NPPES registry on November 9, 2017.

Where is Revive Chiropractic, LLC located?

Revive Chiropractic, LLC is located at 2205 W Market St, Pottsville, PA 17901. The listed phone number is (570) 621-4390.

What is Revive Chiropractic, LLC's specialty?

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

Does Revive Chiropractic, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2280782) is associated with this NPI, valid through April 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Revive Chiropractic, LLC was last updated on April 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.