OrganizationActive
Revival Wellness LLC
NPI 1790653533 · Adult Medicine Physician · Morris, MN
Revival Wellness LLC is a Adult Medicine Physician organization in Morris, MN (NPI 1790653533).
Provider details
- NPI number
- 1790653533
- Entity type
- Organization
- Primary specialty
- Adult Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Nathan Malek, Ceo(320) 491-0594
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
511 Oregon Ave Pdt Suite B3
Morris, MN 56267
Phone: (320) 491-0594
Fax: (320) 491-0594
Street-level locationGet directions
Mailing address
511 Oregon Ave
Morris, MN 56267-3712
Registry dates
- Enumerated
- 2025-10-24
- Last updated
- 2025-10-24
- Certified
- 2025-10-07
Frequently asked questions
- What is Revival Wellness LLC's NPI number?
- Revival Wellness LLC's National Provider Identifier (NPI) is 1790653533, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revival Wellness LLC?
- Revival Wellness LLC is classified in the NPPES registry as Adult Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Revival Wellness LLC located?
- Revival Wellness LLC's practice location on file with NPPES is 511 Oregon Ave Pdt Suite B3, Morris, MN 56267.
- What is Revival Wellness LLC's phone number?
- The practice phone number listed in the NPPES registry for Revival Wellness LLC is (320) 491-0594.
- Who is the authorized official for Revival Wellness LLC?
- The authorized official listed on Revival Wellness LLC's NPPES record is Nathan Malek, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revival Wellness LLC's NPI active?
- Yes — Revival Wellness LLC's NPI (1790653533) is active in the NPPES registry as of the last update on 2025-10-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.