Regenerative Joint PT LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

REGENERATIVE JOINT PT LLC

Practice address

483 Upper Riverdale Rd SW Ste F
Riverdale, GA 30274-2579

Phone

(470) 895-0610

Fax

(706) 666-1325

NPI assigned

Jun 25, 2021

Last updated

Jun 27, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jack Wright

Title

Owner

Phone

(470) 895-0610

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Peter Ping Lee, M.D.

  • Neurology Physician
  • Lagrange, GA
  • NPI 1205828993
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782518400000",
    "number": "1053981860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "483 UPPER RIVERDALE RD SW STE F",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742579",
            "telephone_number": "470-895-0610",
            "fax_number": "706-666-1325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "483 UPPER RIVERDALE RD SW STE F",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742579",
            "telephone_number": "470-895-0610",
            "fax_number": "706-666-1325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENERATIVE JOINT PT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-25",
        "last_updated": "2026-06-27",
        "certification_date": "2026-06-27",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-895-0610"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Redemption Healthcare Services, LLC
• Daniel Tesfa Redie, DDS
• Todd L. Reed, DC
• Refuge Recovery Center
• Regenerative Joint Clinics LLC
• Kimberly T. Reid
• Iwalani Reiser
• Reliable Behavioral Health Services
• Reliable Mobile Drug Testing LLC
• Reliance Healthcare Services Inc

• Clinic/Center in Riverdale, GA
• Providers in Riverdale, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.