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REGENERATIVE PHYSICAL MEDICINE LLC
NPI 1942923693
General Practice in Kingston, PA

Active since September 19, 2022
250 PIERCE ST STE 103, KINGSTON, PA 18704(570) 287-1110(570) 287-1121 Get Directions Write a Review

NPPES record last updated: September 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Regenerative Physical Medicine Llc NPPES

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

REGENERATIVE PHYSICAL MEDICINE LLC (NPI 1942923693) is a healthcare organization registered as a general practice in Kingston, Pennsylvania and active in the NPI registry since September 2022. The organization lists Tracy H Underdown, Owner, as its authorized official.

NPPES Registry Identity

NPI1942923693
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameREGENERATIVE PHYSICAL MEDICINE LLC
Location Address250 PIERCE ST STE 103Kingston, PA 18704-5149
Mailing Address1111 E 3rd StWilliamsport, PA 17701-5411 · (570) 772-5362
Phone(570) 287-1110
Fax(570) 287-1121
Organization SubpartNo
Authorized OfficialTracy H UnderdownOwner · (570) 772-5362
Enumeration DateSeptember 19, 2022
NPPES CertifiedSeptember 19, 2022
✔ NPI 1942923693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
250 PIERCE ST STE 103, Kingston, PA 18704
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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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARK HAMPTON CHIROPRACTIC INC.
Durable Medical Equipment & Medical Supplies
250 PIERCE ST STE 103
KINGSTON, PA 18704
Luzerne County (570) 772-8935

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 Regenerative Physical Medicine LLC's NPI number?

The NPI number for Regenerative Physical Medicine LLC is 1942923693. It was assigned to this organization in the NPPES registry on September 19, 2022.

Where is Regenerative Physical Medicine LLC located?

Regenerative Physical Medicine LLC is located at 250 Pierce St Ste 103, Kingston, PA 18704. The listed phone number is (570) 287-1110.

What is Regenerative Physical Medicine LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Regenerative Physical Medicine LLC was last updated on September 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.