Joint Regeneration of Florida LLC

Primary specialty

Wound Care Registered NurseTaxonomy code 163WW0000X

Legal business name

JOINT REGENERATION OF FLORIDA LLC

Practice address

120 State St E Ste 104
Oldsmar, FL 34677-3647

Phone

(813) 556-7440

NPI assigned

Jun 14, 2022

Organization subpart

No

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

Authorized official

Name

Kristyn Manzi

Title

Authorized Official

Phone

(561) 568-1535

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Daniel Burress, DO

  • Family Medicine Physician
  • Lady Lake, FL
  • NPI 1649295973
  Medicare reassignment NPD
• Heather Simmons, MSN, FNP, APRN

  • Family Nurse Practitioner
  • Clearwater, FL
  • NPI 1467479063
  Medicare reassignment NPD
• James Patrick McGraw III, MPAS, PA

  • Physician Assistant
  • Oldsmar, FL
  • NPI 1114129749
  Medicare reassignment

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1275263139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 STATE ST E STE 104",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346773647",
            "telephone_number": "813-556-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 STATE ST E STE 104",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346773647",
            "telephone_number": "813-556-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOINT REGENERATION OF FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-14",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "MANZI",
        "authorized_official_first_name": "KRISTYN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "561-568-1535"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason P Hurley DC, LLC (Motion Council)
• Himali Jayakody, MD
• Melissa Johansen
• Sandra Elizabeth Johnson, LCSW
• Stephanie Dawn Johnston, MA, BCBA
• Erin Leigh Jurgens, ARNP
• Alisa Katz, FNP-C
• Kavita a Thomas MD PA
• Kbtherapy L.L.C. (Onward Tampa)
• Kenneth a. Cohen and Ann S. Jamieson,DDS,PA

• Wound Care Registered Nurse in Oldsmar, FL
• Providers in Oldsmar, FL by specialty
• Wound Care Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.