Organization Active NPI

Springs Rejuvenation LLC

Doing business as Springs Rejuvenation

  • Orthopaedic Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1114613759
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
SPRINGS REJUVENATION LLC
Doing business as
Springs Rejuvenation
Practice address
420 E 3Rd St Ste 705
Los Angeles, CA 90013-1646
Phone
(404) 780-5617
NPI assigned
Apr 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Authorized official

Name
Diana Reeder, BSHA, CCMA, CBCS
Title
Practice Administrator
Phone
(470) 589-7120

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Emergency Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207PS0010X
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

420 E 3Rd St Ste 705
Los Angeles, CA 90013-1646

Mailing address

4411 Suwanee Dam Rd Ste 440
Suwanee, GA 30024-8706
Phone (470) 589-7120

Other practice location 1

2820 NE 214th St
Miami, FL 33180-1268
Phone (404) 780-5617

Other practice location 2

4411 Suwanee Dam Rd Ste 440
Suwanee, GA 30024-8706
Phone (470) 589-7120

Other practice location 3

245 5th Ave Fl 3
New York, NY 10016-8728
Phone (646) 650-4314

Other practice location 4

8700 Menchaca Rd Ste 602
Austin, TX 78748-5377
Phone (470) 589-7120

Other practice location 5

1800 Peachtree St NW Ste 660
Atlanta, GA 30309-2522
Phone (470) 735-7447

Other names 1

  • Springs Rejuvenation Doing business as

Electronic endpoints 4

TypeEndpointUseAffiliation
CONNECT URL https://app.kareo.com/dashboard-ui/#/ Health Information Exchange (HIE)
CONNECT URL https://app.kareo.com/ Health Information Exchange (HIE)
Direct Messaging Address diana@springsrejuvenation.com Direct
CONNECT URL https://app.kareo.com/ Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

8700 Menchaca Rd
Ste 602
Austin, TX 78748
Phone (470) 589-7120

NPI Registry JSON

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

{
    "created_epoch": "1681689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705449600000",
    "number": "1114613759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 SUWANEE DAM RD STE 440",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300248706",
            "telephone_number": "470-589-7120",
            "fax_number": "844-350-6954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E 3RD ST STE 705",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900131646",
            "telephone_number": "404-780-5617"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2820 NE 214th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331801268",
            "country_code": "US",
            "telephone_number": "404-780-5617",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4411 Suwanee Dam Rd Ste 440",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300248706",
            "country_code": "US",
            "telephone_number": "470-589-7120",
            "fax_number": "844-350-6954",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "245 5th Ave Fl 3",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100168728",
            "country_code": "US",
            "telephone_number": "646-650-4314",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8700 Menchaca Rd Ste 602",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787485377",
            "country_code": "US",
            "telephone_number": "470-589-7120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 Peachtree St NW Ste 660",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303092522",
            "country_code": "US",
            "telephone_number": "470-735-7447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPRINGS REJUVENATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-17",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A",
        "authorized_official_last_name": "REEDER",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "470-589-7120",
        "authorized_official_credential": "BSHA, CCMA, CBCS"
    },
    "taxonomies": [
        {
            "code": "207PS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://app.kareo.com/dashboard-ui/#/",
            "affiliation": "N",
            "endpointDescription": "kareo",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4411 Suwanee Dam Rd Ste 440",
            "city": "Suwanee",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300248706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://app.kareo.com/",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1408 Crenshaw Blvd",
            "city": "Torrance",
            "state": "CA",
            "country_code": "US",
            "postal_code": "905012433",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "diana@springsrejuvenation.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4411 Suwanee Dam Rd Ste 440",
            "city": "Suwanee",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300248706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://app.kareo.com/",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1800 Peachtree St NW Ste 660",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303092522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Springs Rejuvenation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Springs Rejuvenation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.