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Revitalize Pain and Spine LLC

Pain Medicine Physician in Mesa, AZ · enumerated 2020 · authorized official Amy Williams, Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1346848090

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Registry record

Entity type Organization (Type 2)
Legal business name Revitalize Pain and Spine LLC
Practice address 4838 E Baseline Rd Ste 110, Mesa, AZ, 85206
Phone (480) 210-2641
Fax (480) 210-2642
Enumeration date Oct 14, 2020
Last updated in NPPES Oct 14, 2020

Taxonomy & classification

174400000X Specialist Other Service Providers Secondary
207LP2900X Pain Medicine (Anesthesiology) Physician Allopathic & Osteopathic Physicians Secondary
208VP0000X Pain Medicine Physician Allopathic & Osteopathic Physicians Primary
208VP0014X Interventional Pain Medicine Physician Allopathic & Osteopathic Physicians Secondary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Amy Williams
Title Director
Phone (480) 969-4040

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.

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Frequently asked questions

What is the NPI number for Revitalize Pain and Spine LLC?
The NPI for Revitalize Pain and Spine LLC is 1346848090, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Revitalize Pain and Spine LLC?
NPPES lists Amy Williams (Director) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-10-14.