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REVITALIZE CHIROPRACTIC
NPI 1982428249
Chiropractor in Ft Worth, TX

Active since November 13, 2024
600 E BAILEY BOSWELL RD STE 150, FT WORTH, TX 76131(817) 482-3388(817) 704-0393 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Revitalize Chiropractic NPPES

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

REVITALIZE CHIROPRACTIC (NPI 1982428249), doing business as Revitalize Chiropractic, Pllc, is a healthcare organization registered as a chiropractor in Ft Worth, Texas and active in the NPI registry since November 2024. The organization lists Juliet Ekeiwu, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1982428249
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameREVITALIZE CHIROPRACTIC
Location Address600 E BAILEY BOSWELL RD STE 150Ft Worth, TX 76131-3573
Mailing Address600 E Bailey Boswell Rd Ste 150Ft Worth, TX 76131-3573 · (817) 482-3388 · Fax (817) 704-0393
Phone(817) 482-3388
Fax(817) 704-0393
Organization SubpartNo
Authorized OfficialJuliet EkeiwuCredentialing · (404) 680-1004
Enumeration DateNovember 13, 2024
NPPES CertifiedNovember 13, 2024
✔ NPI 1982428249 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.
600 E BAILEY BOSWELL RD STE 150, Ft Worth, TX 76131
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Other Names 1

Doing Business AsRevitalize Chiropractic, Pllc

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

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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 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 Revitalize Chiropractic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Megan Peterson, DC
Chiropractic
NPI 1013731371
600 E BAILEY BOSWELL RD STE 150
Ft Worth, TX 76131
(817) 482-3388
✔ Accepts MedicareSame address

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's NPI number?

The NPI number for Revitalize Chiropractic is 1982428249. It was assigned to this organization in the NPPES registry on November 13, 2024. The provider is doing business as Revitalize Chiropractic, PLLC.

Where is Revitalize Chiropractic located?

Revitalize Chiropractic is located at 600 E Bailey Boswell Rd Ste 150, Ft Worth, TX 76131. The listed phone number is (817) 482-3388.

What is Revitalize Chiropractic's specialty?

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

Is Revitalize Chiropractic enrolled in Medicare?

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

How many clinicians bill Medicare through Revitalize Chiropractic?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Revitalize Chiropractic. 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.

What insurance does Revitalize Chiropractic accept?

Health plans from Blue Cross and Blue Shield of Texas list Revitalize Chiropractic 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 was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.