Revive Sport & Spine
NPI 1649646969 · Sports Physician Chiropractor · Murray, UT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Revive Sport & Spine is a Sports Physician Chiropractor organization in Murray, UT (NPI 1649646969).
Provider details
- NPI number
- 1649646969
- Entity type
- Organization
- Primary specialty
- Sports Physician ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Andrew Reheisse, Owner(801) 944-1855
- License
- 91235421202 (UT)
Specialties & taxonomies
Chiropractic Providers
Chiropractic Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
- 2015-08-20
- Last updated
- 2025-10-09
- Certified
- 2025-10-09
Frequently asked questions
- What is Revive Sport & Spine's NPI number?
- Revive Sport & Spine's National Provider Identifier (NPI) is 1649646969, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revive Sport & Spine?
- Revive Sport & Spine is classified in the NPPES registry as Sports Physician Chiropractor (Chiropractic Providers).
- Where is Revive Sport & Spine located?
- Revive Sport & Spine's practice location on file with NPPES is 1996 E 6400 S Ste 260, Murray, UT 84121-2173.
- What is Revive Sport & Spine's phone number?
- The practice phone number listed in the NPPES registry for Revive Sport & Spine is (801) 944-1855.
- Does Revive Sport & Spine accept Medicare?
- Revive Sport & Spine 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 Revive Sport & Spine?
- The authorized official listed on Revive Sport & Spine's NPPES record is Andrew Reheisse, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revive Sport & Spine's NPI active?
- Yes — Revive Sport & Spine's NPI (1649646969) is active in the NPPES registry as of the last update on 2025-10-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.