Revived Wellness LLC
NPI 1891653523 · Family Medicine Physician · Centerville, UT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Revived Wellness LLC is a Family Medicine Physician organization in Centerville, UT (NPI 1891653523).
Provider details
- NPI number
- 1891653523
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jonathan Barker, Manager(801) 499-2373
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2026-01-12
- Last updated
- 2026-01-12
- Certified
- 2026-01-12
Frequently asked questions
- What is Revived Wellness LLC's NPI number?
- Revived Wellness LLC's National Provider Identifier (NPI) is 1891653523, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revived Wellness LLC?
- Revived Wellness LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Revived Wellness LLC located?
- Revived Wellness LLC's practice location on file with NPPES is 776 E 800 S, Centerville, UT 84014-2512.
- What is Revived Wellness LLC's phone number?
- The practice phone number listed in the NPPES registry for Revived Wellness LLC is (801) 424-9922.
- Does Revived Wellness LLC accept Medicare?
- Revived Wellness LLC 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 Revived Wellness LLC?
- The authorized official listed on Revived Wellness LLC's NPPES record is Jonathan Barker, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revived Wellness LLC's NPI active?
- Yes — Revived Wellness LLC's NPI (1891653523) is active in the NPPES registry as of the last update on 2026-01-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.