Revive Roots, PLLC
NPI 1548800915 · Multi-Specialty Clinic/Center · Minneapolis, MN
Revive Roots, PLLC is a Multi-Specialty Clinic/Center organization in Minneapolis, MN (NPI 1548800915).
Provider details
- NPI number
- 1548800915
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Marlee Dorsey, President(612) 445-7781
Specialties & taxonomies
Ambulatory Health Care Facilities
- Community/Behavioral Health Agency251S00000X
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
Other names (DBA / former)
- Doing business as
- Reviving Roots Therapy & Wellness
- Doing business as
- Reviving Roots Therapy & Wellness
Registry dates
- Enumerated
- 2020-01-13
- Last updated
- 2020-09-24
- Certified
- 2020-09-24
Frequently asked questions
- What is Revive Roots, PLLC's NPI number?
- Revive Roots, PLLC's National Provider Identifier (NPI) is 1548800915, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revive Roots, PLLC?
- Revive Roots, PLLC is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Revive Roots, PLLC located?
- Revive Roots, PLLC's practice location on file with NPPES is 3440 Portland Ave, Minneapolis, MN 55407-4861.
- What is Revive Roots, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Revive Roots, PLLC is (612) 990-8172.
- Who is the authorized official for Revive Roots, PLLC?
- The authorized official listed on Revive Roots, PLLC's NPPES record is Marlee Dorsey, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revive Roots, PLLC's NPI active?
- Yes — Revive Roots, PLLC's NPI (1548800915) is active in the NPPES registry as of the last update on 2020-09-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.