Revitalize Spine & Sports Care PLLC
NPI 1407430317 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · Kennewick, WA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Revitalize Spine & Sports Care PLLC is a Pain Medicine (Physical Medicine & Rehabilitation) Physician organization in Kennewick, WA (NPI 1407430317).
Provider details
- NPI number
- 1407430317
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Groner, Owner / MD(509) 591-4966
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
- 2021-05-06
- Last updated
- 2021-05-06
- Certified
- 2021-05-06
Frequently asked questions
- What is Revitalize Spine & Sports Care PLLC's NPI number?
- Revitalize Spine & Sports Care PLLC's National Provider Identifier (NPI) is 1407430317, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revitalize Spine & Sports Care PLLC?
- Revitalize Spine & Sports Care PLLC is classified in the NPPES registry as Pain Medicine (Physical Medicine & Rehabilitation) Physician (Allopathic & Osteopathic Physicians).
- Where is Revitalize Spine & Sports Care PLLC located?
- Revitalize Spine & Sports Care PLLC's practice location on file with NPPES is 4309 W 27th Pl Ste 202, Kennewick, WA 99338-2908.
- What is Revitalize Spine & Sports Care PLLC's phone number?
- The practice phone number listed in the NPPES registry for Revitalize Spine & Sports Care PLLC is (509) 591-4966.
- Does Revitalize Spine & Sports Care PLLC accept Medicare?
- Revitalize Spine & Sports Care PLLC 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 Revitalize Spine & Sports Care PLLC?
- The authorized official listed on Revitalize Spine & Sports Care PLLC's NPPES record is John Groner, Owner / MD. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revitalize Spine & Sports Care PLLC's NPI active?
- Yes — Revitalize Spine & Sports Care PLLC's NPI (1407430317) is active in the NPPES registry as of the last update on 2021-05-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.