OrganizationActiveAccepts Medicare
Revitalize Chiropractic
NPI 1982428249 · Chiropractor · Ft Worth, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1982428249
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Juliet Ekeiwu, Credentialing(404) 680-1004
Specialties & taxonomies
Chiropractic Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
600 E Bailey Boswell Rd Ste 150
Ft Worth, TX 76131-3573
Phone: (817) 482-3388
Fax: (817) 704-0393
Street-level locationGet directions
Mailing address
600 E Bailey Boswell Rd Ste 150
Ft Worth, TX 76131-3573
Other names (DBA / former)
- Doing business as
- Revitalize Chiropractic, PLLC
Registry dates
- Enumerated
- 2024-11-13
- Last updated
- 2024-11-13
- Certified
- 2024-11-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.