Rejuvenx of Bradenton

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

REJUVENX OF BRADENTON

Practice address

3021 Manatee Ave W Ste a
Bradenton, FL 34205-4242

Phone

(561) 422-1819

NPI assigned

Feb 2, 2021

Organization subpart

No

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 1

Addresses

Locations

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612224000000",
    "number": "1508457532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1470B 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": "3021 MANATEE AVE W STE A",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342054242",
            "telephone_number": "561-422-1819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUVENX OF BRADENTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-02",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-01",
        "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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Reinhardt, PSYD
• Lucas Reinhartz, PHARMD
• Joseph Reinosa Ventura, DO 7399
• Marty Reisky, RPH
• Jacqueline Reitmayr, OTR/L
• Stelios Rekkas, MD
• Reliable Medical Supply LLC
• Renaissance Healthcare
• Jean-Joseph Ganeau Rendel Jr., DNP, FNP-BC,PMHNP-BC
• Vanessa Leigh Rene, RPHT, CPHT

• Chiropractor in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.