Organization Active NPI

Rejuvenations Incorporated

  • Neurology Chiropractor
  • Naples, FL
National Provider Identifier
1861604019
Registry record updated Aug 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
CH8620 Issued in FL
Legal business name
REJUVENATIONS INCORPORATED
Practice address
1715 Heritage Trail
Suite 203
Naples, FL 34112
Phone
(239) 530-3040
Fax
(239) 530-3050
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2012

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

Authorized official

Name
Dr. Ronald Michael Repice II, D.C.
Title
President
Phone
(239) 530-3040

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NN0400X CH8620 FL Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT8896 FL
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X OT12089 FL

Addresses

Primary practice location

1715 Heritage Trail
Suite 203
Naples, FL 34112

Mailing address

1575 Pine Ridge Rd
Suite 6 & 7
Naples, FL 34109-2107
Phone (239) 530-3040

National Provider Directory

National Provider Directory

Locations

1575 Pine Ridge Rd
Ste 6
Naples, FL 34109
Phone (239) 331-5886

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345680000000",
    "number": "1861604019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 PINE RIDGE RD",
            "address_2": "SUITE 6 & 7",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341092107",
            "telephone_number": "239-530-3040",
            "fax_number": "239-530-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 HERITAGE TRAIL",
            "address_2": "SUITE 203",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34112",
            "telephone_number": "239-530-3040",
            "fax_number": "239-530-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUVENATIONS INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2012-08-23",
        "status": "A",
        "authorized_official_last_name": "REPICE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-530-3040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Neurology",
            "state": "FL",
            "license": "CH8620",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT8896",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT12089",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2012; 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.