OrganizationActive
Revivify Beauty Salon & Spa, LLC
NPI 1659244143 · Prosthetic/Orthotic Supplier · Orlando, FL
Provider details
- NPI number
- 1659244143
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Abigail Rice, Owner(407) 205-9393
Specialties & taxonomies
Suppliers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
5041 Edgewater Dr
Orlando, FL 32810-5226
Phone: (407) 205-9393
Fax: (407) 201-4460
Street-level locationGet directions
Mailing address
1600 the Oaks Blvd
Kissimmee, FL 34746-3829
Registry dates
- Enumerated
- 2025-09-29
- Last updated
- 2025-09-29
- Certified
- 2025-09-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.