Active NPI
Regenerative Medical Therapy Inc
- General Practice Physician
- Fort Myers, FL
National Provider Identifier
1104169242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- OS5873
- Legal business name
- REGENERATIVE MEDICAL THERAPY INC
- Practice address
- 16050 S Tamiami TRL Ste 109
Fort Myers, FL 33908-4243 - Phone
- (239) 243-8823
- Fax
- (239) 437-1451
- NPI assigned
- Mar 27, 2013
- 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
- Dr. Alexander E. Rodi Jr., D.O.
- Title
- President
- Phone
- (239) 243-8823
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | OS5873 | FL | Primary |
Addresses
Primary practice location
16050 S Tamiami TRL Ste 109
Fort Myers, FL 33908-4243
Mailing address
16050 S Tamiami TRL Ste 109
Fort Myers, FL 33908-4243
Phone (239) 243-8823
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1364342400000",
"number": "1104169242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16050 S TAMIAMI TRL STE 109",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339084243",
"telephone_number": "239-243-8823",
"fax_number": "239-437-1451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16050 S TAMIAMI TRL STE 109",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339084243",
"telephone_number": "239-243-8823",
"fax_number": "239-437-1451"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGENERATIVE MEDICAL THERAPY INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-27",
"last_updated": "2013-03-27",
"status": "A",
"authorized_official_last_name": "RODI",
"authorized_official_first_name": "ALEXANDER",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "239-243-8823",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": "FL",
"license": "OS5873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.