Regenerative Medicine Space Coast LLC

Primary specialty

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

Legal business name

REGENERATIVE MEDICINE SPACE COAST LLC

Practice address

3800 W Eau Gallie Blvd Ste 101
Melbourne, FL 32934-3285

Phone

(321) 323-3618

NPI assigned

Jun 22, 2020

Last updated

Feb 10, 2024By 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

Rafael Foss, DC

Title

Owner

Phone

(786) 370-1111

Specialties & licenses 3

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.

• James A Joseph, D.O.

  • Family Medicine Physician
  • North Chicago, IL
  • NPI 1083660229
  NPD (past)

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707523200000",
    "number": "1487270831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24556",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322414556",
            "telephone_number": "786-370-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 W EAU GALLIE BLVD STE 101",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329343285",
            "telephone_number": "321-323-3618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENERATIVE MEDICINE SPACE COAST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-22",
        "last_updated": "2024-02-10",
        "certification_date": "2023-12-19",
        "status": "A",
        "authorized_official_last_name": "FOSS",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-370-1111",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Garrett Reed, DC
• Alexa Noelle Reedy, APRN
• Elizabeth Reeves, OTR/L
• Reflectional Counseling LLC
• Abigail Dunn Regan, DPT
• McKenna Ann Register
• Rehab Specialists East Coast
• Rehabclinics (Pta) Inc (NovaCare Rehabilitation)
• Rehabilitation on Demand, LLC
• Christopher S Rehak, M.D.

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Melbourne, FL
• Providers in Melbourne, 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 Feb 10, 2024; 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.