OrganizationActive
The Wig Reviver
NPI 1962112474 · Customized Equipment (DME) · Largo, FL
Provider details
- NPI number
- 1962112474
- Entity type
- Organization
- Primary specialty
- Customized Equipment (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Monica Elliott, Owner(980) 616-0374
Specialties & taxonomies
Suppliers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
503 36th St Se Apt C
Largo, FL 33771-2716
Phone: (980) 616-0374
Street-level locationGet directions
Mailing address
503 36th St Se Apt C
Largo, FL 33771-2716
Other names (DBA / former)
- Doing business as
- The Wig Reviver
Registry dates
- Enumerated
- 2022-11-25
- Last updated
- 2022-11-30
- Certified
- 2022-11-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.