OrganizationActive
Revitalize Spine & Sports Care PLLC
NPI 1407430317 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · Kennewick, WA
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
Established profile(62/100 index)
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
4309 W 27th Pl Ste 202
Kennewick, WA 99338-2908
Phone: (509) 591-4966
Approximate (ZIP-level) locationGet directions
Mailing address
4309 W 27th Pl Ste 202
Kennewick, WA 99338-2908
Registry dates
- Enumerated
- 2021-05-06
- Last updated
- 2021-05-06
- Certified
- 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.