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KENNY CHANTASI DO PLLC
NPI 1316740483
Physical Medicine & Rehabilitation - Pain Medicine in Orlando, FL

Active since April 01, 2025
2295 S HIAWASSEE RD STE 103, ORLANDO, FL 32835(917) 832-4912 Get Directions Write a Review

NPPES record last updated: August 19, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 19, 2026, Jul 23, 2026, Jun 2, 2025 and 1 more (4 updates tracked since 2025).

About Kenny Chantasi Do Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNY CHANTASI DO PLLC (NPI 1316740483), doing business as Primecell Regenerative, is a healthcare organization registered as a pain medicine in Orlando, Florida and active in the NPI registry since April 2025. The organization lists Kenny Chantasi, Owner, as its authorized official.

NPPES Registry Identity

NPI1316740483
Entity TypeOrganization
Primary Taxonomy2081P2900X
Legal Business NameKENNY CHANTASI DO PLLC
Location Address2295 S HIAWASSEE RD STE 103Orlando, FL 32835-8748
Mailing Address2295 S Hiawassee Rd Ste 410Orlando, FL 32835-8747
Phone(917) 832-4912
Organization SubpartNo
Authorized OfficialKenny ChantasiOwner · (917) 832-4912
Enumeration DateApril 1, 2025
Last NPPES UpdateAugust 19, 20264 updates tracked since enumeration
NPPES CertifiedAugust 19, 2026
✔ NPI 1316740483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
2295 S HIAWASSEE RD STE 103, Orlando, FL 32835
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Other Names 2

Doing Business AsPrimecell Regenerative
Doing Business AsPrimecell Regenerative And Aesthetics Medicine

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenny Chantasi Do Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Kenny Chantasi Do PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Kenny Chantasi, DO
Physical Medicine and Rehabilitation
NPI 1427216175
2295 S HIAWASSEE RD STE 103
Orlando, FL 32835
(917) 832-4912
✔ PECOS✔ Accepts MedicareSame address
Trinh Nguyen, APRN
Nurse Practitioner
NPI 1336920560
1931 MARTIN LUTHER KING JR BLVD
Panama City, FL 32405
(850) 740-5010
✔ PECOS✔ Accepts Medicare276 mi
Destinee Blei, AGNP-C
Nurse Practitioner
NPI 1346734324
1847 FLORIDA AVE
Panama City, FL 32405
(850) 914-8600
✔ PECOS✔ Accepts Medicare277 mi
Jason Boutwell, APRN
Nurse Practitioner
NPI 1184281982
1847 FLORIDA AVE
Panama City, FL 32405
(850) 640-1416
✔ PECOS✔ Accepts Medicare277 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenny Chantasi Do PLLC's NPI number?

The NPI number for Kenny Chantasi Do PLLC is 1316740483. It was assigned to this organization in the NPPES registry on April 1, 2025. The provider is doing business as PrimeCell Regenerative and PrimeCell Regenerative and Aesthetics Medicine.

Where is Kenny Chantasi Do PLLC located?

Kenny Chantasi Do PLLC is located at 2295 S Hiawassee Rd Ste 103, Orlando, FL 32835. The listed phone number is (917) 832-4912.

What is Kenny Chantasi Do PLLC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Kenny Chantasi Do PLLC enrolled in Medicare?

Yes. Kenny Chantasi Do PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kenny Chantasi Do PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Kenny Chantasi Do PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3) and Physical Medicine and Rehabilitation (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kenny Chantasi Do PLLC was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.