NPIMap

Organization Active NPI

Regenerative Repair and Relief, PLLC

  • Physical Medicine & Rehabilitation Physician
  • The Woodlands, TX
National Provider Identifier
1164911889
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
M3662 Issued in TX
Legal business name
REGENERATIVE REPAIR AND RELIEF, PLLC
Practice address
10857 Kuykendahl Rd Ste 110
The Woodlands, TX 77382-2936
Phone
(346) 220-8063
Fax
(832) 838-4362
NPI assigned
May 8, 2018
Last updated
Apr 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Authorized official

Name
Edward Alan Nash, MDNPI 1962428656
Title
President
Phone
(832) 374-6111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X TX
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X M3662 TX Primary

Addresses

Primary practice location

10857 Kuykendahl Rd Ste 110
The Woodlands, TX 77382-2936

Mailing address

6 N Fazio Way
Spring, TX 77389-2701
Phone (832) 374-6111

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1164911889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 N FAZIO WAY",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773892701",
            "telephone_number": "832-374-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10857 KUYKENDAHL RD STE 110",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773822936",
            "telephone_number": "346-220-8063",
            "fax_number": "832-838-4362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENERATIVE REPAIR AND RELIEF, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-08",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A",
        "authorized_official_last_name": "NASH",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-374-6111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "M3662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.