REVIVING ROOTS THERAPY & WELLNESS
NPI 1548800915
Clinic/Center - Multi-Specialty in Minneapolis, MN

Q: What is Revive Roots, PLLC's NPI number?

The NPI number for Revive Roots, PLLC is 1548800915. It was assigned to this organization in the NPPES registry on January 13, 2020. The provider is doing business as Reviving Roots Therapy & Wellness.

Q: What is Revive Roots, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Active since January 13, 2020

3440 PORTLAND AVE, MINNEAPOLIS, MN 55407(612) 990-8172 Get Directions Write a Review

NPPES record last updated: September 24, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 24, 2020, Jan 29, 2020, Jan 13, 2020 (3 updates tracked since 2020).

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About Reviving Roots Therapy & Wellness NPPES

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

REVIVING ROOTS THERAPY & WELLNESS (NPI 1548800915) is a healthcare organization registered as a multi-specialty in Minneapolis, Minnesota and active in the NPI registry since January 2020. The organization lists Marlee Dorsey, President, as its authorized official.

NPPES Registry Identity

NPI1548800915

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameREVIVE ROOTS, PLLC

Location Address3440 PORTLAND AVEMinneapolis, MN 55407-4861

Mailing Address3440 Portland AveMinneapolis, MN 55407-4861 · (612) 990-8172

Phone(612) 990-8172

Organization SubpartNo

Authorized OfficialMarlee DorseyPresident · (612) 445-7781

Enumeration DateJanuary 13, 2020

Last NPPES UpdateSeptember 24, 20203 updates tracked since enumeration

NPPES CertifiedSeptember 24, 2020

✔ NPI 1548800915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

3440 PORTLAND AVE, Minneapolis, MN 55407

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Other Names 1

Doing Business AsReviving Roots Therapy & Wellness

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 Roots, PLLC's NPI number?

The NPI number for Revive Roots, PLLC is 1548800915. It was assigned to this organization in the NPPES registry on January 13, 2020. The provider is doing business as Reviving Roots Therapy & Wellness.

Where is Revive Roots, PLLC located?

Revive Roots, PLLC is located at 3440 Portland Ave, Minneapolis, MN 55407. The listed phone number is (612) 990-8172.

What is Revive Roots, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Revive Roots, PLLC was last updated on September 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.