Rejuvenx of Ft. Myers, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

REJUVENX OF FT. MYERS, LLC

Practice address

6315 Presidential CT Ste 140
Fort Myers, FL 33919-3568

Phone

(239) 689-6042

NPI assigned

Jul 28, 2021

Last updated

Jul 28, 2021By 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. Timothy Decanio, DCNPI 1770663486

Title

Owner

Phone

(561) 422-1819

Specialties & licenses 1

Addresses

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.

• Timothy M Decanio, D.C.

  • Neurology Chiropractor
  • Royal Palm Beach, FL
  • NPI 1770663486
  Authorized official Same address or phone
• Joshua Ubbes, DC

  • Chiropractor
  • Fort Myers, FL
  • NPI 1053075739
  NPD

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627430400000",
    "number": "1972276772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1470A ROYAL PALM BEACH BLVD",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334111608",
            "telephone_number": "561-422-1819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6315 PRESIDENTIAL CT STE 140",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339193568",
            "telephone_number": "239-689-6042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUVENX OF FT. MYERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "DECANIO",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-422-1819",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corrina J Reinek, APRN
• Alissa Robin Reinhardt-Swasey
• Liz Arlet Reinoso, PHARMD
• Brooke Aspen Reisenbuechler, MSW
• Jared P. Reiss, PA-C
• Relief MD Rehab Specialists Inc
• Alan Neil Rembos, DDS
• Renaissance Wellness, LLC
• John Monte Renaldo, OD
• Nicasio Renaldo, LMHC

• Chiropractor in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.