Kenny Chantasi DO PLLC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

KENNY CHANTASI DO PLLC

Doing business as

PrimeCell Regenerative
PrimeCell Regenerative and Aesthetics Medicine

Practice address

2295 S Hiawassee Rd Ste 103
Orlando, FL 32835-8748

Phone

(917) 832-4912

NPI assigned

Apr 1, 2025

Last updated

Aug 19, 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

Dr. Kenny Chantasi, DONPI 1427216175

Title

Owner

Phone

(917) 832-4912

Specialties & licenses 1

Addresses

Other names 2

• PrimeCell Regenerative Doing business as
• PrimeCell Regenerative and Aesthetics Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

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.

• Kenny Chantasi, DO

  • Physical Medicine & Rehabilitation Physician
  • Orlando, FL
  • NPI 1427216175

  Pain Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Destinee Bertia Blei, AGNP-C

  • Adult Health Nurse Practitioner
  • Panama City, FL
  • NPI 1346734324
  Medicare reassignment Care Compare group NPD
• Jason Glenn Boutwell, APRN

  • Family Nurse Practitioner
  • Panama City, FL
  • NPI 1184281982

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Trinh Nguyen, APRN

  • Family Nurse Practitioner
  • Panama City, FL
  • NPI 1336920560
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1743465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1316740483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2295 S HIAWASSEE RD STE 410",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328358747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2295 S HIAWASSEE RD STE 103",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328358748",
            "telephone_number": "917-832-4912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNY CHANTASI DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-01",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "CHANTASI",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-832-4912",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PrimeCell Regenerative",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PrimeCell Regenerative and Aesthetics Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kenneth T. Mack, P.a. (South Alafaya Chiropractic)
• David Michael Kenney Sr.
• Kristiana Kenney
• Jessica Kenning, MAT, LAT, ATC, CSCS
• Holly Kennon
• Katlynn Danielle Kenon, MD
• Kent Clinic, LLC
• Jennifer Elizabeth Kent-Walsh, PH.D., CCC-SLP
• Shawna Elizabeth Kent, LMT
• Jacqueline Dione Kenton, PMHNP-BC

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.