Active NPI
Rejuvinix Joint and Sports Clinic
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Virginia Beach, VA
National Provider Identifier
1013448786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Legal business name
- REJUVINIX JOINT AND SPORTS CLINIC
- Practice address
- 4701 Columbus St
Suite 100
Virginia Beach, VA 23462-6725 - Phone
- (414) 736-1317
- NPI assigned
- Mar 24, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard Salinas, RN
- Title
- Ceo
- Phone
- (414) 736-1317
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 0101052872 | VA | |
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | Primary | ||
| Sports Medicine (Preventive Medicine) Physician | 2083S0010X | |||
| Diagnostic Radiology Physician | 2085R0202X | |||
| Diagnostic Ultrasound Physician | 2085U0001X | |||
| Interventional Pain Medicine Physician | 208VP0014X |
Addresses
Primary practice location
4701 Columbus St
Suite 100
Virginia Beach, VA 23462-6725
Mailing address
575 Lynnhaven Pkwy
Suite 200
Virginia Beach, VA 23452-7350
National Provider Directory
National Provider DirectoryLocations
575 Lynnhaven Pkwy
Ste 200
Virginia Beach, VA 23452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490313600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1490313600000",
"number": "1013448786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 LYNNHAVEN PKWY",
"address_2": "SUITE 200",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234527350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4701 COLUMBUS ST",
"address_2": "SUITE 100",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234626725",
"telephone_number": "414-736-1317"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REJUVINIX JOINT AND SPORTS CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-24",
"last_updated": "2017-03-24",
"status": "A",
"authorized_official_last_name": "SALINAS",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "414-736-1317",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": "VA",
"license": "0101052872",
"primary": false
},
{
"code": "2081S0010X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "2083S0010X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Preventive Medicine, Sports Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Ultrasound",
"state": null,
"license": null,
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.