Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Regenerative Joint PT LLC

Organization Clinic/Center · NPI 1053981860

Regenerative Joint PT LLC is a Clinic/Center in Riverdale, Georgia. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

483 Uppr Riverdale RD SW Ste F
Riverdale, GA 30274-2579
Phone: (470) 895-0610
Fax: (706) 666-1325
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1053981860
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jack Wright — Owner · (470) 895-0610
NPI enumeratedJune 25, 2021
Last updated in NPPESJune 27, 2026
Certification dateJune 27, 2026
Mailing address483 Upper Riverdale Rd Sw Ste F, Riverdale, GA 30274-2579

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