REGENERATE ATX PLLC (NPI# 1811506538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811506538 |
| Entity Type | Organization |
| Organization Name | REGENERATE ATX PLLC |
| Practice Address |
11610 Fm 2244 Rd Ste 230 Austin TX 78738-5457 |
| Practice Telephone | 5122847025 |
| Mailing Telephone | 5122847025 |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2020-08-01 |
| Authorized Official Name | DR. JUSTIN N HOGAN (OWNER) |
| Authorized Official Telephone | 5122847025 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2083S0010X |
Preventive Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
11610 FM 2244 RD STE 230 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78738-5457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841808987 | Innovative Sports Therapy LLC | Clinic/Center | 3932-a Rr 620 S., Bee Cave, TX 78738 | 2020-07-15 |
| 1447807839 | Texas Physical Therapy Specialists | Durable Medical Equipment & Medical Supplies | 101 Medical Parkway, Suite 110, Lakeway, TX 78738 | 2019-08-21 |
| 1831744101 | Laurel Brynne Boyd | Physical Therapist | 2501 Rr 620, Suite 140, Lakeway, TX 78738 | 2019-08-05 |
| 1033777404 | Maria Wesley-pinion Lcsw Csat Pllc | Social Worker | 2802 Flintorock Trace, Suite B101, Lakeway, TX 78738 | 2019-05-31 |
| 1801362637 | Iq Dental Pllc | Dentist | 15511 State Highway 71 West, Suite # 120, Bee Cave, TX 78738 | 2018-10-19 |
| 1790264687 | Doctx3 Pllc | Orthopaedic Surgery | 11514 Bee Caves Rd., Suite 130, Bee Cave, TX 78738 | 2018-08-10 |
| 1710479530 | Herbert A Fritsche Jr. | Pathology | 12117 Bee Caves Road, Building 3 Suite 100, Austin, TX 78738 | 2018-06-06 |
| 1518456417 | Chemist Laboratory LLC | Pharmacy | 3944 Ranch Road 620s, Bldg 6, Bee Cave, TX 78738 | 2018-05-07 |
| 1700397809 | Katrina Balangue | Speech-Language Pathologist | 3595 Ranch Road 620 S Unit 220, Austin, TX 78738 | 2017-10-16 |
| 1013468586 | Muve - Lakeway Ambulatory Surgical Center, LLC | Clinic/Center | 5329 Serene Hills Drive, Suite 100, Lakeway, TX 78738 | 2016-10-20 |
| Find all providers in zip 78738 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700380763 | Robert W Killebrew | Physical Medicine & Rehabilitation | 4401 Freidrich Ln Ste 302, Austin, TX 78744-1852 | 2018-03-22 |
| 1538687108 | Jocelyn J Smith | Physical Medicine & Rehabilitation | 3220 Amy Donovan Plaza, Apt 10103, Austin, TX 78758 | 2017-09-05 |
| 1821383126 | Ashley Zapf | Physical Medicine & Rehabilitation | 405 Deloss Dodds Way, Austin, TX 78712-7871 | 2011-06-14 |
| 1437686300 | Mary M Wilkins | Physical Medicine & Rehabilitation | 711 W 38th St Ste B3, Austin, TX 78705-1125 | 2017-05-22 |
| 1831135953 | Jim B Fernandez | Physical Medicine & Rehabilitation | 900 W 38th St, #300, Austin, TX 78705-1127 | 2006-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568095164 | Roxana Ventura | Physical Medicine & Rehabilitation | 300 North Loop Ste 300, Houston, TX 77008-2853 | 2020-02-21 |
| 1720625544 | Kelli Knippa | Physical Medicine & Rehabilitation | 4202 44th St, Lubbock, TX 79413-3304 | 2019-12-01 |
| 1770128290 | Misty D Keim | Physical Medicine & Rehabilitation | 502 Dove Creek Dr, Round Rock, TX 78664-5920 | 2019-11-07 |
| 1720550213 | Kate Kautzky | Physical Medicine & Rehabilitation | 11200 Sean Haggerty Dr Apt 8202, El Paso, TX 79934-3390 | 2018-12-20 |
| 1720555212 | Pablo Eduardo Estrada | Physical Medicine & Rehabilitation | 3220 Montana Ave, El Paso, TX 79903-2630 | 2018-11-01 |
| 1750862652 | Heather Mcdonald | Physical Medicine & Rehabilitation | 501 Old Kyle Rd, Wimberley, TX 78676-2815 | 2018-08-28 |
| 1841701398 | Cortney Charlesworth | Physical Medicine & Rehabilitation | 12840 S Kirkwood Rd Apt 9110, Stafford, TX 77477-3848 | 2017-10-23 |
| 1962889949 | Yonghoon Lee | Physical Medicine & Rehabilitation | 7200 Cambridge St Ste A10.238, Houston, TX 77030-4202 | 2015-04-29 |
| 1699106112 | Komkrit Kaewchay | Physical Medicine & Rehabilitation | 8501 N Macarthur Blvd, 0582 C/o Consultant Usa, Irving, TX 75063-4100 | 2013-12-09 |
| 1285971127 | Michael John Perkins | Physical Medicine & Rehabilitation | 1451 Greens Prairie Road West, Suite 100, College Station, TX 77845-8734 | 2013-01-11 |
| Find all providers with the same taxonomy | ||||
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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.