GENESIS REGENERATIVE & RESTORATIVE MEDICINE,LLC
NPI 1639861099
Physical Medicine & Rehabilitation in Daytona Beach, FL

Active since May 24, 2023
1893 N CLYDE MORRIS BLVD STE 120, DAYTONA BEACH, FL 32117(386) 866-9091(904) 813-7156 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 16, 2024, May 24, 2023 (2 updates tracked since 2023).

About Genesis Regenerative & Restorative Medicine,llc NPPES

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

GENESIS REGENERATIVE & RESTORATIVE MEDICINE,LLC (NPI 1639861099) is a healthcare organization registered as a physical medicine & rehabilitation in Daytona Beach, Florida and active in the NPI registry since May 2023. The organization lists Michael Sandborn, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1639861099
Entity TypeOrganization
Primary Taxonomy208100000X
Legal Business NameGENESIS REGENERATIVE & RESTORATIVE MEDICINE,LLC
Location Address1893 N CLYDE MORRIS BLVD STE 120Daytona Beach, FL 32117-5536
Mailing Address1893 N Clyde Morris Blvd Ste 120Daytona Beach, FL 32117-5536 · (386) 866-9091 · Fax (904) 813-7156
Fax(904) 813-7156
Organization SubpartNo
Authorized OfficialMichael SandbornPhysician/owner · (386) 866-9091
Enumeration DateMay 24, 2023
Last NPPES UpdateApril 16, 20242 updates tracked since enumeration
NPPES CertifiedApril 16, 2024
✔ NPI 1639861099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
1893 N CLYDE MORRIS BLVD STE 120, Daytona Beach, FL 32117

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Genesis Regenerative & Restorative Medicine,llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Genesis Regenerative & Restorative Medicine,llc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Medicine and Rehabilitation
NPI 1235237454
697 MAITLAND AVE SUITE 1002
Altamonte Springs, FL 32701
(407) 539-2111
✔ PECOS✔ Accepts Medicare44 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 Genesis Regenerative & Restorative Medicine,llc's NPI number?

The NPI number for Genesis Regenerative & Restorative Medicine,llc is 1639861099. It was assigned to this organization in the NPPES registry on May 24, 2023.

Where is Genesis Regenerative & Restorative Medicine,llc located?

Genesis Regenerative & Restorative Medicine,llc is located at 1893 N Clyde Morris Blvd Ste 120, Daytona Beach, FL 32117. The listed phone number is (386) 866-9091.

What is Genesis Regenerative & Restorative Medicine,llc's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Genesis Regenerative & Restorative Medicine,llc enrolled in Medicare?

Yes. Genesis Regenerative & Restorative Medicine,llc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Genesis Regenerative & Restorative Medicine,llc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Medicine and Rehabilitation) reassigns their Medicare billing to Genesis Regenerative & Restorative Medicine,llc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Genesis Regenerative & Restorative Medicine,llc was last updated on April 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.