Revitalife Wellness Center, LLC
NPI 1215794169 · General Practice Physician · Washington Court House, OH
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Revitalife Wellness Center, LLC is a General Practice Physician organization in Washington Court House, OH (NPI 1215794169).
Provider details
- NPI number
- 1215794169
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Emily Latona, Co-Owner(740) 406-1709
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Chiropractor111N00000X
Chiropractic Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-03-05
- Last updated
- 2025-03-07
- Certified
- 2025-03-04
Frequently asked questions
- What is Revitalife Wellness Center, LLC's NPI number?
- Revitalife Wellness Center, LLC's National Provider Identifier (NPI) is 1215794169, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revitalife Wellness Center, LLC?
- Revitalife Wellness Center, LLC is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Revitalife Wellness Center, LLC located?
- Revitalife Wellness Center, LLC's practice location on file with NPPES is 108 N Hinde St, Washington Court House, OH 43160-1371.
- What is Revitalife Wellness Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Revitalife Wellness Center, LLC is (740) 406-1709.
- Does Revitalife Wellness Center, LLC accept Medicare?
- Revitalife Wellness Center, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Revitalife Wellness Center, LLC?
- The authorized official listed on Revitalife Wellness Center, LLC's NPPES record is Emily Latona, Co-Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revitalife Wellness Center, LLC's NPI active?
- Yes — Revitalife Wellness Center, LLC's NPI (1215794169) is active in the NPPES registry as of the last update on 2025-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.