REGENERATIVE THERAPIES, LLC. (NPI# 1285811968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285811968 |
| Entity Type | Organization |
| Organization Name | REGENERATIVE THERAPIES, LLC. |
| Other Organization Name | WINSTON SALEM WOUND CARE |
| Practice Address |
3314 Healy Dr Suite 105 Winston Salem NC 27103-1408 |
| Mailing Address |
615 S Poplar St Winston Salem NC 27101-5853 |
| Practice Telephone | 3366022003 |
| Practice Fax Number | 8886409976 |
| Mailing Telephone | 3363249497 |
| Mailing Fax Number | 8886409976 |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2008-01-24 |
| Authorized Official Name | MR. BRYAN MICHAEL ROGERS (MEMEBER MANAGER) |
| Authorized Official Telephone | 3363249497 |
| Authorized Official Credential | P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
9515 | NC | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Winston Salem Wound Care | Doing Business As Name - Organization |
| Street Address |
3314 HEALY DR SUITE 105 |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-1408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386993475 | Dwight D. Isenhoward | Hearing Instrument Specialist | 3314 Healy Dr, Ste 107, Winston Salem, NC 27103 | 2012-09-05 |
| 1881942340 | Dwight Isenhoward | Hearing Instrument Specialist | 3314 Healy Dr, Suite 107, Winston Salem, NC 27103-1408 | 2012-08-15 |
| 1558549691 | Blue Ridge Hearing, Inc | Clinic/Center | 3314 Healy Dr, Suite 106, Winston Salem, NC 27103-1408 | 2008-01-31 |
| 1427112978 | Joel A Black Jr. | Dentist | 3314 Healy Dr, Suite 104, Winston Salem, NC 27103-1408 | 2006-12-20 |
| 1700954773 | New Hope Center of Winston-salem, LLC | Social Worker | 3314 Healy Dr, Suite 105, Winston Salem, NC 27103-1408 | 2006-11-30 |
| 1801901590 | Patrick Michael Michel | Dentist | 3314 Healy Dr, Suite 101, Winston Salem, NC 27103-1408 | 2006-08-20 |
| 1134154370 | G & J Brewer LLC | Home Health | 3314 Healy Dr, Suite 105a, Winston Salem, NC 27103-1408 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720580665 | Backsavers Physical Therapy LLC | Clinic/Center | 4747 Kester Mill Rd, Winston Salem, NC 27103-1212 | 2018-03-07 |
| 1639736374 | Shelton Movement and Performance | Clinic/Center | 163 Stratford Ct Ste 135, Winston Salem, NC 27103-1830 | 2019-05-28 |
| 1831638410 | Brandon Lee Stone | Clinic/Center | 1605 Westbrook Plaza Dr, Winston Salem, NC 27103-2900 | 2017-02-16 |
| 1841506524 | Chandler Physical Therapy & Sports Rehab, LLC | Clinic/Center | 1396 Westgate Center Dr, Suite B, Winston Salem, NC 27103-2932 | 2010-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496757 | North Carolina Physical Therapy | Clinic/Center | 223 E Chatham St Ste 101, Cary, NC 27511-3475 | 2020-10-29 |
| 1750988861 | Homefront Physical Therapy, LLC | Clinic/Center | 100 Fullard Dr, Sneads Ferry, NC 28460-9530 | 2020-10-02 |
| 1861009144 | Radiance Physical Therapy LLC | Clinic/Center | 9 Richmond Ct, Durham, NC 27713-8376 | 2020-09-30 |
| 1386250124 | Nicol Chiropractic Center | Clinic/Center | 7011 Fayetteville Rd Ste 106b, Durham, NC 27713-7745 | 2020-09-17 |
| 1295349231 | All Natural Female LLC | Clinic/Center | 10314 Kirkmont Dr, Charlotte, NC 28269-6219 | 2020-09-08 |
| 1538773064 | Congruency Therapy & Wellness LLC | Clinic/Center | 5045 Strawberry Hill Dr Apt D, Charlotte, NC 28211-4535 | 2020-09-02 |
| 1093329617 | Begin With Breath, LLC | Clinic/Center | 37 Hampden Rd, Asheville, NC 28805-2421 | 2020-09-01 |
| 1225641020 | Flo Physical Therapy & Performance LLC | Clinic/Center | 13959 Tom Short Rd, Marvin, NC 28173-5300 | 2020-08-31 |
| 1689286122 | 2662 Pursuits LLC | Clinic/Center | 279 Paragon Pkwy, Clyde, NC 28721-8509 | 2020-08-17 |
| 1255958930 | Rise Physical Therapy LLC | Clinic/Center | 3710 Exchange Glenwood Pl Apt 346, Raleigh, NC 27612-4853 | 2020-06-29 |
| Find all providers with the same taxonomy | ||||
| City | WINSTON SALEM |
| Zip Code | 27103 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.