OrganizationActive
Revitalife Center, P.A.
NPI 1225306608 · Chiropractor · Spring Lake Park, MN
Revitalife Center, P.A. is a Chiropractor organization in Spring Lake Park, MN (NPI 1225306608).
Provider details
- NPI number
- 1225306608
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Linda Pham, Owner/Chiropractor(763) 710-4085
- License
- 5552 (MN)
Specialties & taxonomies
Chiropractic Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
8097 Highway 65 Ne Ste 102
Spring Lake Park, MN 55432-4511
Phone: (763) 710-4085
Street-level locationGet directions
Mailing address
8097 Highway 65 Ne Ste 102
Spring Lake Park, MN 55432-4511
Other names (DBA / former)
- Doing business as
- Revitalife Center
Registry dates
- Enumerated
- 2011-12-13
- Last updated
- 2012-10-25
Frequently asked questions
- What is Revitalife Center, P.A.'s NPI number?
- Revitalife Center, P.A.'s National Provider Identifier (NPI) is 1225306608, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revitalife Center, P.A.?
- Revitalife Center, P.A. is classified in the NPPES registry as Chiropractor (Chiropractic Providers).
- Where is Revitalife Center, P.A. located?
- Revitalife Center, P.A.'s practice location on file with NPPES is 8097 Highway 65 Ne Ste 102, Spring Lake Park, MN 55432-4511.
- What is Revitalife Center, P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Revitalife Center, P.A. is (763) 710-4085.
- Who is the authorized official for Revitalife Center, P.A.?
- The authorized official listed on Revitalife Center, P.A.'s NPPES record is Linda Pham, Owner/Chiropractor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revitalife Center, P.A.'s NPI active?
- Yes — Revitalife Center, P.A.'s NPI (1225306608) is active in the NPPES registry as of the last update on 2012-10-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.