Organization Active NPI

Rejuvenx of Tampa LLC

  • Chiropractor
  • Tampa, FL
National Provider Identifier
1457034126
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
REJUVENX OF TAMPA LLC
Practice address
2506 W Virginia Ave Unit B
Tampa, FL 33607-6326
Phone
(941) 697-3001
NPI assigned
Aug 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Authorized official

Name
Dr. Timothy Decanio, DC
Title
Owner
Phone
(561) 422-1819

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

2506 W Virginia Ave Unit B
Tampa, FL 33607-6326

Mailing address

1470A Royal Palm Beach Blvd
Royal Palm Beach, FL 33411-1608
Phone (561) 422-1819

Other practice location 1

3021 Manatee Ave W Ste 1&2
Bradenton, FL 34205-4242
Phone (941) 352-2032

Other practice location 2

2020 Cattlemen Rd Ste 300
Sarasota, FL 34232-6283
Phone (941) 246-2636

Other practice location 3

1790 E Venice Ave Ste 205
Venice, FL 34292-3191
Phone (941) 335-9569

Other practice location 4

12479 S Access Rd
Port Charlotte, FL 33981-6206
Phone (941) 842-0101

Other practice location 5

3200 Bailey Ln Ste 106
Naples, FL 34105-8506
Phone (239) 689-6042

Other practice location 6

6315 Presidential Ct Ste 140
Fort Myers, FL 33919-3568
Phone (239) 689-6042

Other practice location 7

5880 49th St N Ste N105&107
St Petersburg, FL 33709-2150
Phone (727) 261-0684

Other practice location 8

3200 S Congress Ave Ste 102
Boynton Beach, FL 33426-9041
Phone (561) 823-1994

Other practice location 9

4 Harvard Cir Ste 700
West Palm Beach, FL 33409-1989
Phone (561) 821-9646

Other practice location 10

1470 Royal Palm Beach Blvd
Royal Palm Beach, FL 33411-1608
Phone (561) 600-5241

National Provider Directory

National Provider Directory

Locations

3021 Manatee Ave W
Ste 12
Bradenton, FL 34205
Phone (941) 352-2032

12479 S Access Rd
Port Charlotte, FL 33981
Phone (941) 229-1887

1470 Royal Palm Beach Blvd
Royal Palm Beach, FL 33411
Phone (561) 600-5241

5880 49th St N
Ste N105107
St Petersburg, FL 33709
Phone (727) 261-0684

2506 W Virginia Ave
Ste B
Tampa, FL 33607
Phone (941) 697-3001

1790 E Venice Ave
Ste 205
Venice, FL 34292
Phone (941) 335-9569

Practitioners & affiliated clinicians

Practitioners 11

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

NPI Registry JSON

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761609600000",
    "number": "1457034126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1470A ROYAL PALM BEACH BLVD",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334111608",
            "telephone_number": "561-422-1819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2506 W VIRGINIA AVE UNIT B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076326",
            "telephone_number": "941-697-3001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3021 Manatee Ave W Ste 1&2",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342054242",
            "country_code": "US",
            "telephone_number": "941-352-2032",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2020 Cattlemen Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342326283",
            "country_code": "US",
            "telephone_number": "941-246-2636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1790 E Venice Ave Ste 205",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "FL",
            "postal_code": "342923191",
            "country_code": "US",
            "telephone_number": "941-335-9569",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12479 S Access Rd",
            "address_purpose": "LOCATION",
            "city": "Port Charlotte",
            "state": "FL",
            "postal_code": "339816206",
            "country_code": "US",
            "telephone_number": "941-842-0101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3200 Bailey Ln Ste 106",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341058506",
            "country_code": "US",
            "telephone_number": "239-689-6042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6315 Presidential Ct Ste 140",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339193568",
            "country_code": "US",
            "telephone_number": "239-689-6042",
            "fax_number": "239-689-6042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5880 49th St N Ste N105&107",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337092150",
            "country_code": "US",
            "telephone_number": "727-261-0684",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3200 S Congress Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334269041",
            "country_code": "US",
            "telephone_number": "561-823-1994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4 Harvard Cir Ste 700",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334091989",
            "country_code": "US",
            "telephone_number": "561-821-9646",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1470 Royal Palm Beach Blvd",
            "address_purpose": "LOCATION",
            "city": "Royal Palm Beach",
            "state": "FL",
            "postal_code": "334111608",
            "country_code": "US",
            "telephone_number": "561-600-5241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REJUVENX OF TAMPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-09",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A",
        "authorized_official_last_name": "DECANIO",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-422-1819",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; 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.