The Wig Reviver – Customized Equipment (DME), NPI 1962112474

Customized Equipment (DME)

The Wig Reviver is a healthcare provider. based in Largo, Florida. specializing in Customized Equipment (DME). The NPI Number for The Wig Reviver is 1962112474

Main info

Organization

Name

The Wig Reviver

NPI

1962112474

Phone

(980) 616-0374

Address

503 36TH ST SE APT C

Authorized Official

MONICA ELLIOTT OWNER PROSTHETICSPECIALIST

Enumeration Date

25 November 2022

Last Update Date

30 November 2022

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience21

Completeness80

Years active:3State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for The Wig Reviver

503 36TH ST SE APT C
LARGO, FL 337712716
Phone: (980) 616-0374
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33771)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for The Wig Reviver?

The Wig Reviver — NPI 1962112474 — is the standard way to identify this listing.

Is The Wig Reviver listed as active for patients and plans?

The listing shows The Wig Reviver as active in the NPI system.

What taxonomy line describes The Wig Reviver?

For research purposes, treat The Wig Reviver as Customized Equipment (DME) in this dataset. Clinical services aligned with this taxonomy classification.

Where is The Wig Reviver based?

The Wig Reviver is tied to Largo, Florida in the data we show; additional addresses may exist on the full record.

Is specialty guaranteed by NPI alone?

Taxonomy selections describe intent; scope of practice still follows state law.