Revivanation LLC
NPI 1629490388 · Massage Therapist · Portland, OR
Revivanation LLC is a Massage Therapist organization in Portland, OR (NPI 1629490388).
Provider details
- NPI number
- 1629490388
- Entity type
- Organization
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Steven Burbank, Owner/Therapist(503) 765-5333
- License
- AC01286 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Other Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
- Eyem
Registry dates
- Enumerated
- 2014-01-15
- Last updated
- 2014-01-15
Frequently asked questions
- What is Revivanation LLC's NPI number?
- Revivanation LLC's National Provider Identifier (NPI) is 1629490388, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revivanation LLC?
- Revivanation LLC is classified in the NPPES registry as Massage Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Revivanation LLC located?
- Revivanation LLC's practice location on file with NPPES is 914 Sw 11th Ave, Portland, OR 97205-2001.
- What is Revivanation LLC's phone number?
- The practice phone number listed in the NPPES registry for Revivanation LLC is (503) 765-5333.
- Who is the authorized official for Revivanation LLC?
- The authorized official listed on Revivanation LLC's NPPES record is Steven Burbank, Owner/Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revivanation LLC's NPI active?
- Yes — Revivanation LLC's NPI (1629490388) is active in the NPPES registry as of the last update on 2014-01-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.