NPIMap

Organization Active NPI

Florida Injury & Regenerative Medicine, PLLC

  • Chiropractor
  • Jacksonville, FL
National Provider Identifier
1528680220
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
FLORIDA INJURY & REGENERATIVE MEDICINE, PLLC
Practice address
3033 Hartley Rd Ste 6
Jacksonville, FL 32257-6280
Phone
(190) 448-1111
Fax
(832) 442-3800
NPI assigned
May 15, 2020
Last updated
Apr 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Authorized official

Name
Dr. Kirt W ReppNPI 1598752545
Title
Member / Authorized Representative
Phone
(281) 831-6290

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary
General Practice Physician 208D00000X NU

Addresses

Primary practice location

3033 Hartley Rd Ste 6
Jacksonville, FL 32257-6280

Mailing address

101 Marketside Ave # 404-777
Ponte Vedra, FL 32081-1541
Phone (904) 481-1111

National Provider Directory

National Provider Directory

Locations

3033 Hartley Rd
Ste 6
Jacksonville, FL 32257
Phone (904) 481-1111

101 Marketside Ave
#404777
Ponte Vedra, FL 32081

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1589500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775520000000",
    "number": "1528680220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MARKETSIDE AVE # 404-777",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320811541",
            "telephone_number": "904-481-1111",
            "fax_number": "832-442-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 HARTLEY RD STE 6",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322576280",
            "telephone_number": "190-448-1111",
            "fax_number": "832-442-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA INJURY & REGENERATIVE MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-15",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A",
        "authorized_official_last_name": "REPP",
        "authorized_official_first_name": "KIRT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MEMBER / AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "281-831-6290",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; 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.