Rejuvenx, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH8849 Issued in FL

Legal business name

REJUVENX, LLC

Practice address

418 S Tamiami TRL # E-3
Osprey, FL 34229-9206

Phone

(561) 422-1819

NPI assigned

May 31, 2017

Last updated

May 31, 2017By 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. Tim Decanio, D.C.

Title

Owner

Phone

(561) 422-1819

Specialties & licenses 1

Addresses

Locations

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.

• Craig Cusson, D.C.

  • Chiropractor
  • Osprey, FL
  • NPI 1730618240
  NPD (past)

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

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496188800000",
    "number": "1629506910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 S TAMIAMI TRL # E-3",
            "city": "OSPREY",
            "state": "FL",
            "postal_code": "342299206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 S TAMIAMI TRL # E-3",
            "city": "OSPREY",
            "state": "FL",
            "postal_code": "342299206",
            "telephone_number": "561-422-1819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUVENX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-31",
        "last_updated": "2017-05-31",
        "status": "A",
        "authorized_official_last_name": "DECANIO",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-422-1819",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2017; 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.