REGENESYS PHYSICAL MEDICINE PLLC (NPI# 1518467059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518467059 |
| Entity Type | Organization |
| Organization Name | REGENESYS PHYSICAL MEDICINE PLLC |
| Practice Address |
425 Old Newman Rd Ste 100 Frisco TX 75036-4773 |
| Practice Telephone | 9727125556 |
| Practice Fax Number | 9727125579 |
| Mailing Telephone | 9727125556 |
| Mailing Fax Number | 9727125579 |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2019-01-03 |
| Authorized Official Name | BRANDON B WILSON (OWNER) |
| Authorized Official Telephone | 9727125556 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | LICENSE | 10828 | 01 |
| Street Address |
425 OLD NEWMAN RD STE 100 |
| City | FRISCO |
| State | TX |
| Zip Code | 75036-4773 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881862605 | Brandon B Wilson | Chiropractor | 425 Old Newman Rd Ste 100, Frisco, TX 75036-4773 | 2008-02-14 |
| 1891316030 | Christine Michelle Kratch | Registered Nurse | 425 Old Newman Rd Ste 100, Frisco, TX 75036-4773 | 2020-04-28 |
| 1518353523 | Erin Elizabeth Hollis | Nurse Practitioner | 425 Old Newman Rd Ste 100, Frisco, TX 75034-4773 | 2015-04-07 |
| 1295995827 | Marci L Lowe | Nurse Practitioner | 425 Old Newman Rd Ste 100, Frisco, TX 75036-4773 | 2008-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053962761 | Gerryl Landry Krilic | Nutritionist | Friscofit City Ambassador Health Coaching & Wellness, 5410 Beacon Hill Drive, Frisco, TX 75036 | 2019-09-24 |
| 1275014862 | Chrissie Gutierrez | Physical Therapy Assistant | 11705 Cape Cod Springs Dr, Frisco, TX 75036 | 2018-08-22 |
| 1992282354 | Sahn & Kahng, Pllc | Physical Therapist | 425 Old Newman Road, Ste 401, Frisco, TX 75036 | 2018-07-27 |
| 1447886882 | Mellie Lindskog | Registered Nurse | 2766 Sparks Dr, Frisco, TX 75036-0522 | 2020-03-17 |
| 1043810385 | Nancy Carol Nielsen | Registered Nurse | 2846 Sparks Dr, Frisco, TX 75036-0523 | 2020-10-27 |
| 1548812522 | Jaime Michise | Speech-Language Pathologist | 1751 Cedar Ranch Rd, Frisco, TX 75036-1098 | 2019-07-10 |
| 1942369665 | Thu H Shioya | Optometrist | 2201 Packing Iron Dr, Frisco, TX 75036-1375 | 2006-12-08 |
| 1013561778 | Joslyn Love | Technician, Other | 1228 Timber Ln, Frisco, TX 75036-1743 | 2019-07-30 |
| 1598365439 | Amy Mei Tran | Pharmacist | 355 Stonebrook Pkwy, Frisco, TX 75036-3076 | 2020-10-29 |
| 1134729460 | Emily Binwhe Hong | Pharmacist | 355 Stonebrook Pkwy, Frisco, TX 75036-3076 | 2020-10-27 |
| Find all providers in zip 75036 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083246540 | Avani Patel | Family Medicine | 13545 Torrington Dr, Frisco, TX 75035-7395 | 2020-02-12 |
| 1174162952 | Courtney Chovanak Nicholls | Family Medicine | 3323 Cumberland Ln, Frisco, TX 75033-2375 | 2019-12-27 |
| 1952952533 | Myfitmed Provider Pllc | Family Medicine | 615 Main St Ste 104, Frisco, TX 75036-4313 | 2019-09-24 |
| 1689222945 | Phoenix Integrative Medical Center Pllc | Family Medicine | 6380 Preston Rd, Frisco, TX 75034-6384 | 2019-08-29 |
| 1407409311 | Connections Primary Care Frisco | Family Medicine | 255 W Lebanon Ste 124, Frisco, TX 75036-3412 | 2019-07-19 |
| 1932670643 | Lynda E. Mbah, Md, Pllc | Family Medicine | 5285 Independence Pkwy Ste 400, Frisco, TX 75035-4646 | 2018-12-07 |
| 1700352820 | Ideh Macdonald | Family Medicine | 57 Cattail Pond Dr, Frisco, TX 75034-8584 | 2018-10-16 |
| 1073018131 | Frisco Total Wellness Clinic, Pllc | Family Medicine | 14550 Highway 121, Suite 130, Frisco, TX 75035 | 2018-03-29 |
| 1245744580 | Whhwc LLC | Family Medicine | 5899 Preston Rd Ste 803, Frisco, TX 75034-7425 | 2017-11-22 |
| 1023528239 | My Medical Housecall & Wellness LLC | Family Medicine | 5570 Fm 423 Ste 250-2011, Frisco, TX 75034 | 2017-10-03 |
| Find all providers in FRISCO | ||||
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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.