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

Regenerative Physical Medicine LLC

Organization General Practice Physician · NPI 1942923693

Regenerative Physical Medicine LLC is a General Practice Physician in Kingston, Pennsylvania. Registered with an NPI since 2022.

In the registry since
2022
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

250 Pierce St Ste 103
Kingston, PA 18704-5149
Phone: (570) 287-1110
Fax: (570) 287-1121
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1942923693
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tracy Underdown — Owner · (570) 772-5362
NPI enumeratedSeptember 19, 2022
Last updated in NPPESSeptember 19, 2022
Certification dateSeptember 19, 2022
Mailing address1111 E 3rd St, Williamsport, PA 17701-5411

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