Regenerative Physiatrist PLLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

REGENERATIVE PHYSIATRIST PLLC

Practice address

1240 McKee Rd
Dover, DE 19904-1381

Phone

(302) 672-5800

NPI assigned

Aug 12, 2021

Last updated

Oct 9, 2022By 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. Matthew G. Michaels, MDNPI 1780666404

Title

Ceo

Phone

(615) 589-6222

Specialties & licenses 2

Addresses

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.

• Matthew G Michaels, MD

  • Physical Medicine & Rehabilitation Physician
  • Nashville, TN
  • NPI 1780666404
  NPD Authorized official

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665273600000",
    "number": "1326713272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9623 PORTOFINO DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370273829",
            "telephone_number": "615-589-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 MCKEE RD",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199041381",
            "telephone_number": "302-672-5800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9000 Church St E # A",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "TN",
            "postal_code": "370275285",
            "country_code": "US",
            "telephone_number": "615-861-0994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REGENERATIVE PHYSIATRIST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-12",
        "last_updated": "2022-10-09",
        "certification_date": "2022-10-09",
        "status": "A",
        "authorized_official_last_name": "MICHAELS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-589-6222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Reed
• La Toya C. Reese, LCSW
• Rhiana Reese
• Rynell Lamar Reese
• Matthew R Reetz, DO
• Regional Medical Associates
• Regional Medical Associates, PA
• Rehabilitation Associates, P.a. (Delaware Back Pain & Sports Rehabilitation Centers)
• Apryl Lynn Reid, CRNA
• Alexis Reider

• Medical Specialty Clinic/Center in Dover, DE
• Providers in Dover, DE by specialty
• Medical Specialty Clinic/Center in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.