Physical Evidence Regen, LLC

Primary specialty

Integrative Medicine PhysicianTaxonomy code 202D00000X

Legal business name

PHYSICAL EVIDENCE REGEN, LLC

Doing business as

Physical Evidence Regen

Practice address

7035 Beracasa Way Ste 103
Boca Raton, FL 33433-3454

Phone

(561) 674-1217

Fax

(561) 287-6556

NPI assigned

Aug 31, 2022

Organization subpart

No

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

Authorized official

Name

Dr. David Lipman, DCNPI 1831499193

Title

MGR

Phone

(561) 674-1217

Specialties & licenses 1

Addresses

Other names 1

• Physical Evidence Regen Doing business as

Locations

Practitioners 1

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

• David Lipman, D.C.

  • Chiropractor
  • Boca Raton, FL
  • NPI 1831499193

  Multi-Specialty

  NPD Authorized official

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661904000000",
    "number": "1952021891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7035 BERACASA WAY STE 103",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333454",
            "telephone_number": "561-674-1217",
            "fax_number": "561-287-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7035 BERACASA WAY STE 103",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333454",
            "telephone_number": "561-674-1217",
            "fax_number": "561-287-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL EVIDENCE REGEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-31",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A",
        "authorized_official_last_name": "LIPMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "561-674-1217",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "202D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Integrative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physical Evidence Regen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Arlene Phipps Asinovski, MD
• Phoenixtherapeutic Solutions, PA
• Phyllis Goldbetter LCSW Inc
• Physiatry Medical Consulting, Inc.
• Physical Evidence
• Physical Medicine & Acupuncture,P.a.
• Physical Rehab Training LLC
• Physical Therapy by Design LLC
• Physical Therapy in Your Home Inc
• Physical Therapy in Your Home Indiana

• Integrative Medicine Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Integrative Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.