Revitalize Pain and Spine LLC
NPI 1346848090 · Pain Medicine Physician · Mesa, AZ
Revitalize Pain and Spine LLC is a Pain Medicine Physician organization in Mesa, AZ (NPI 1346848090).
Provider details
- NPI number
- 1346848090
- Entity type
- Organization
- Primary specialty
- Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Amy Williams, Director(480) 969-4040
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Specialist174400000X
Other Service Providers
- Pain Medicine (Anesthesiology) Physician207LP2900X
Allopathic & Osteopathic Physicians
- Interventional Pain Medicine Physician208VP0014X
Allopathic & Osteopathic Physicians
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
- 2020-10-14
- Last updated
- 2020-10-14
- Certified
- 2020-10-14
Frequently asked questions
- What is Revitalize Pain and Spine LLC's NPI number?
- Revitalize Pain and Spine LLC's National Provider Identifier (NPI) is 1346848090, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revitalize Pain and Spine LLC?
- Revitalize Pain and Spine LLC is classified in the NPPES registry as Pain Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Revitalize Pain and Spine LLC located?
- Revitalize Pain and Spine LLC's practice location on file with NPPES is 4838 E Baseline Rd Ste 110, Mesa, AZ 85206-4674.
- What is Revitalize Pain and Spine LLC's phone number?
- The practice phone number listed in the NPPES registry for Revitalize Pain and Spine LLC is (480) 210-2641.
- Who is the authorized official for Revitalize Pain and Spine LLC?
- The authorized official listed on Revitalize Pain and Spine LLC's NPPES record is Amy Williams, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revitalize Pain and Spine LLC's NPI active?
- Yes — Revitalize Pain and Spine LLC's NPI (1346848090) is active in the NPPES registry as of the last update on 2020-10-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.