CLS Regen, PLLC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

CLS REGEN, PLLC

Practice address

18707 Hardy Oak Blvd Ste 445
San Antonio, TX 78258-4841

Phone

(616) 283-8785

Fax

(512) 975-2005

NPI assigned

Feb 1, 2023

Organization subpart

No

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

Authorized official

Name

Casey Levi Sietsema, PA-CNPI 1689000903

Title

Officer

Phone

(616) 283-8785

Specialties & licenses 2

Addresses

Other names 2

• QC Kinetix Doing business as
• WTCS Regen, PLLC Other name

Locations

Practitioners 1

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

• Casey Levi Sietsema, P.A.

  • Physician Assistant
  • Zeeland, MI
  • NPI 1689000903
  NPD Authorized official

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

{
    "created_epoch": "1675209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1841996956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 THRUSH GROVE PL",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773814042",
            "telephone_number": "616-283-8785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18707 HARDY OAK BLVD STE 445",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584841",
            "telephone_number": "616-283-8785",
            "fax_number": "512-975-2005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1583 E Common St Ste 211",
            "address_purpose": "LOCATION",
            "city": "New Braunfels",
            "state": "TX",
            "postal_code": "781306571",
            "country_code": "US",
            "telephone_number": "616-283-8785",
            "fax_number": "512-975-2005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8441 Riverside Pkwy Ste 4200",
            "address_purpose": "LOCATION",
            "city": "Bryan",
            "state": "TX",
            "postal_code": "778073234",
            "country_code": "US",
            "telephone_number": "616-283-8785",
            "fax_number": "512-975-2005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "511 Oakwood Blvd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786814068",
            "country_code": "US",
            "telephone_number": "616-283-8785",
            "fax_number": "512-975-2005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3903 Wiseman Blvd Ste 303",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782514401",
            "country_code": "US",
            "telephone_number": "616-283-8785",
            "fax_number": "512-975-2005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3801 Bee Caves Rd Ste 140",
            "address_purpose": "LOCATION",
            "city": "West Lake Hills",
            "state": "TX",
            "postal_code": "787466727",
            "country_code": "US",
            "telephone_number": "616-283-8785",
            "fax_number": "512-975-2005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLS REGEN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-01",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A",
        "authorized_official_last_name": "SIETSEMA",
        "authorized_official_first_name": "CASEY",
        "authorized_official_middle_name": "LEVI",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "616-283-8785",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "QC Kinetix",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WTCS Regen, PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• David L Cloutier, D.M.D.
• Marc Edward Cloutier, PHARMD
• Clover Home Health PLLC
• Gail Clowe, M.A.
• Brenda Lea Cloyd, SOCIAL WORKER
• Ashley Rose Clutter, OTR/L
• Hermien Clyburn, FNP-C
• Clyde Yost DDS PA
• Ibis Vanessa Clyde, DDS
• CMS Primary Home Care, Inc

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.