Revitalize Integrated Body Systems
Revitalize Integrated Body Systems is a healthcare organization registered as Chiropractor in Menlo Park, CA, holding Type 2 (organization) NPI 1124341813 since 2010. The authorized official on file is Angelique Waite, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1124341813 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Revitalize Integrated Body Systems |
| Practice address | 1618 EL CAMINO REAL, Menlo Park, CA, 94025 |
| Phone | 4082959970 |
| Enumeration date | 2010-03-09 |
| Last updated in NPPES | 2010-03-09 |
Authorized official
| Name | Angelique Waite |
|---|---|
| Title | President |
| Phone | 4082959970 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 111N00000X | Chiropractor | Primary | DC30496 | CA |
Copy-ready billing details
Provider: Revitalize Integrated Body Systems NPI: 1124341813 Taxonomy: 111N00000X (Chiropractor) Address: 1618 EL CAMINO REAL, Menlo Park, CA, 94025
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1457108631 | Garret Kelly | Individual | Chiropractor | Menlo Park, CA |
Verify this record
Cross-check NPI 1124341813 against the authoritative CMS record: view Revitalize Integrated Body Systems on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Revitalize Integrated Body Systems?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2010-03-09.