Rejuv Wellness & Diagnostics PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

REJUV WELLNESS & DIAGNOSTICS PLLC

Doing business as

Rejuv Wellness & Diagnostic Services

Practice address

10004 Chester Rd Ste a
Chester, VA 23831-1110

Phone

(804) 764-0077

NPI assigned

Nov 1, 2024

Last updated

May 22, 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

Elisha ColemanNPI 1740157940

Title

Ceo

Phone

(804) 586-8389

Specialties & licenses 4

Addresses

Other names 1

• Rejuv Wellness & Diagnostic Services Doing business as

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.

• Elisha J Coleman, LSA

  • Surgical Assistant
  • Chester, VA
  • NPI 1740157940
  NPD Authorized official

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

{
    "created_epoch": "1730419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779408000000",
    "number": "1144043951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7806 SILVER MIST AVE",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232371976",
            "telephone_number": "804-586-6855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10004 CHESTER RD STE A",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238311110",
            "telephone_number": "804-764-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUV WELLNESS & DIAGNOSTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-01",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "ELISHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-586-8389"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rejuv Wellness & Diagnostic Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rediclinic LLC
• Reflective Outpatient Therapy LLC
• Refocus Counseling LLC (At present I am the sole employee working as an independent contractor)
• Shawn Michael Reid, NP
• Rejuv Body & Med Spa LLC
• Reliable Transportation Service, LLC
• Reliant Care LLC
• Residentcare Outreach LLC
• Resilient Journey, LLC
• Restoration and Recreation LLC

• Clinic/Center in Chester, VA
• Providers in Chester, VA by specialty
• Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.