NPIMap

Organization Active NPI

Regenerative Orthopedics and Sports Medicine, LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • MC Lean, VA
National Provider Identifier
1700520533
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
Legal business name
REGENERATIVE ORTHOPEDICS AND SPORTS MEDICINE, LLC
Practice address
1760 Old Meadow Rd Ste 220
MC Lean, VA 22102-4330
Phone
(703) 783-3529
NPI assigned
Apr 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Authorized official

Name
John Ferrell
Title
Ceo
Phone
(301) 825-7176

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XX0005X Primary

Addresses

Primary practice location

1760 Old Meadow Rd Ste 220
MC Lean, VA 22102-4330

Mailing address

1760 Old Meadow Rd Ste 220
MC Lean, VA 22102-4330
Phone (703) 783-3529

National Provider Directory

National Provider Directory
Tax ID family
Regenerative Orthopedics and Sports Medicine LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654819200000",
    "number": "1700520533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 OLD MEADOW RD STE 220",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221024330",
            "telephone_number": "703-783-3529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 OLD MEADOW RD STE 220",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221024330",
            "telephone_number": "703-783-3529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENERATIVE ORTHOPEDICS AND SPORTS MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-27",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A",
        "authorized_official_last_name": "FERRELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-825-7176"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Lean, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; 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.