Organization Active NPI

Regenerative Medical Therapy Inc

  • General Practice Physician
  • Fort Myers, FL
National Provider Identifier
1104169242
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
OS5873 Issued in FL
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

Updated by the provider on Mar 27, 2013

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.NPI 1275536039
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)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Practitioners & 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.

Verify at the official NPI Registry.