Regenerative Therapies, LLC.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

9515 Issued in NC

Legal business name

REGENERATIVE THERAPIES, LLC.

Practice address

3314 Healy Dr
Suite 105
Winston Salem, NC 27103-1408

Phone

(336) 602-2003

Fax

(888) 640-9976

NPI assigned

Jan 24, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Bryan Michael Rogers, P.T.

Title

Memeber Manager

Phone

(336) 324-9497

Specialties & licenses 1

Addresses

Other names 1

• Winston Salem Wound Care Doing business as

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201132800000",
    "number": "1285811968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 S POPLAR ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271015853",
            "telephone_number": "336-324-9497",
            "fax_number": "888-640-9976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3314 HEALY DR",
            "address_2": "SUITE 105",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031408",
            "telephone_number": "336-602-2003",
            "fax_number": "888-640-9976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENERATIVE THERAPIES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2008-01-24",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "MEMEBER MANAGER",
        "authorized_official_telephone_number": "336-324-9497",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NC",
            "license": "9515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winston Salem Wound Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kenya Reeves
• Luke Robert Reeves
• Reflection Care Services
• Grace Regan, RD, LDN
• John David Regan, MD
• Regina Abdou
• Regional Physicians LLC
• Regional Physicians LLC
• Matthew Douglas Register, CRNA
• Archana Regmi, MD

• Physical Therapy Clinic/Center in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Physical Therapy Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; 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.