Revive Sports & Spine Management
NPI 1679195465 · Medical Specialty Clinic/Center · Warren, MI
Revive Sports & Spine Management is a Medical Specialty Clinic/Center organization in Warren, MI (NPI 1679195465).
Provider details
- NPI number
- 1679195465
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Haroun Fetteh, Doctor/Owner(313) 790-3998
Specialties & taxonomies
Ambulatory Health Care Facilities
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
Registry dates
- Enumerated
- 2020-05-14
- Last updated
- 2020-05-14
- Certified
- 2020-05-14
Frequently asked questions
- What is Revive Sports & Spine Management's NPI number?
- Revive Sports & Spine Management's National Provider Identifier (NPI) is 1679195465, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revive Sports & Spine Management?
- Revive Sports & Spine Management is classified in the NPPES registry as Medical Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Revive Sports & Spine Management located?
- Revive Sports & Spine Management's practice location on file with NPPES is 27253 Van Dyke Ave, Warren, MI 48093-2858.
- What is Revive Sports & Spine Management's phone number?
- The practice phone number listed in the NPPES registry for Revive Sports & Spine Management is (586) 486-4520.
- Who is the authorized official for Revive Sports & Spine Management?
- The authorized official listed on Revive Sports & Spine Management's NPPES record is Haroun Fetteh, Doctor/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revive Sports & Spine Management's NPI active?
- Yes — Revive Sports & Spine Management's NPI (1679195465) is active in the NPPES registry as of the last update on 2020-05-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.