Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Revitalize Health and Wellness LLC

Organization Family Medicine Physician · NPI 1255125019

Revitalize Health and Wellness LLC is a Family Medicine Physician in Choctaw, Oklahoma. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

16339 Silver Spring Dr
Choctaw, OK 73020-5807
Phone: (918) 633-0622
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X
Family Medicine Physician Taxonomy 207Q00000X
Sleep Medicine (Family Medicine) Physician Taxonomy 207QS1201X

Record details

NPI number1255125019
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bethany Bia — Part Owner · (918) 633-0622
NPI enumeratedApril 7, 2025
Last updated in NPPESSeptember 5, 2025
Certification dateSeptember 5, 2025
Mailing address16339 Silver Spring Dr, Choctaw, OK 73020-5807

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