Regenerate Wellness Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

REGENERATE WELLNESS INC

Practice address

2631 E Oakland Park Blvd Ste 110
Fort Lauderdale, FL 33306-1607

Phone

(954) 514-7306

Fax

(954) 337-6408

NPI assigned

May 22, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Michael I Cohen, DC

Title

Owner

Phone

(954) 514-7306

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Grace Elizabeth Cowan, APRN, AANP-BC

  • Nurse Practitioner
  • Fort Lauderdale, FL
  • NPI 1639880800
  NPD
• Megan Kopriva, NP

  • Women's Health Nurse Practitioner
  • Fort Lauderdale, FL
  • NPI 1780406868
  NPD

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

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590451200000",
    "number": "1730702812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2631 E OAKLAND PARK BLVD STE 110",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061607",
            "telephone_number": "954-514-7306",
            "fax_number": "954-337-6408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2631 E OAKLAND PARK BLVD STE 110",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061607",
            "telephone_number": "954-514-7306",
            "fax_number": "954-337-6408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENERATE WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-22",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-514-7306",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Alicia Reese, OD
• Michelle Anne Reese
• Melissa Kristine Reesor Martin, MSW
• Natalia Reeves
• Penelope Ann Regalado, DPT
• Emma D Regidor
• Mary Regier, RN
• Regina M Carney MD PA
• Regional Behavioral Health Inc
• Rehabclinics Pta, Inc. (Select Physical Therapy)

• General Practice Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; 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.