Organization Active NPI

Rejuven Joint Care

  • Multi-Specialty Clinic/Center
  • Spartanburg, SC
National Provider Identifier
1922862846
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
REJUVEN JOINT CARE
Practice address
365 E Blackstock Rd Ste C
Spartanburg, SC 29301-3762
Phone
(864) 203-5715
Fax
(629) 333-0251
NPI assigned
Feb 12, 2024
Last updated
Feb 12, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
REJUVEN JOINT CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Authorized official

Name
Elizabeth Pysell
Title
Owner
Phone
(423) 505-8321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

365 E Blackstock Rd Ste C
Spartanburg, SC 29301-3762

Mailing address

242 Adley Way
Greenville, SC 29607-6511
Phone (864) 203-5715

National Provider Directory

National Provider Directory
Part of
Rejuven Joint Care

Locations

365 E Blackstock Rd
#C
Spartanburg, SC 29301
Phone (864) 203-5715

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1922862846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 ADLEY WAY",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296076511",
            "telephone_number": "864-203-5715",
            "fax_number": "629-333-0251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 E BLACKSTOCK RD STE C",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293013762",
            "telephone_number": "864-203-5715",
            "fax_number": "629-333-0251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUVEN JOINT CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REJUVEN JOINT CARE",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-11",
        "status": "A",
        "authorized_official_last_name": "PYSELL",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-505-8321"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.