Regenerate Atx PLLC

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

Legal business name

REGENERATE ATX PLLC

Practice address

11610 FM 2244 Rd Ste 230
Austin, TX 78738-5457

Phone

(512) 284-7025

NPI assigned

Jul 28, 2020

Last updated

Aug 1, 2020By 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. Justin N Hogan, MDNPI 1104243120

Title

Owner

Phone

(512) 284-7025

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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.

• Justin Hogan, M.D.

  • Internal Medicine Physician
  • Magnolia, TX
  • NPI 1104243120
  NPD Authorized official
• David Doyle Drury, PA-C

  • Physician Assistant
  • Austin, TX
  • NPI 1295093417
  NPD

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596240000000",
    "number": "1811506538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11610 FM 2244 RD STE 230",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787385457",
            "telephone_number": "512-284-7025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11610 FM 2244 RD STE 230",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787385457",
            "telephone_number": "512-284-7025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENERATE ATX PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-28",
        "last_updated": "2020-08-01",
        "certification_date": "2020-08-01",
        "status": "A",
        "authorized_official_last_name": "HOGAN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-284-7025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2083S0010X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Regan, RDN
• Katherine Butler Regan, APRN
• Michael P Regan, MD
• Regency Village Care Center, LTD
• Regenera Compounding Solutions, LLC
• Regenerate Counseling
• Regent Rehabilitation Clinic, Inc
• Regina Medart, LPC
• Reginald C Baptiste, MD PA
• Kerri Lynn Register, M.S. CCC/SLP

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Austin, TX
• Providers in Austin, TX by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.