Genesis Regenerative & Restorative Medicine,llc
NPI 1639861099 · Physical Medicine & Rehabilitation Physician · Daytona Beach, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Genesis Regenerative & Restorative Medicine,llc is a Physical Medicine & Rehabilitation Physician organization in Daytona Beach, FL (NPI 1639861099).
Provider details
- NPI number
- 1639861099
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Sandborn, Physician/Owner(386) 866-9091
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-05-24
- Last updated
- 2024-04-16
- Certified
- 2024-04-16
Frequently asked questions
- What is Genesis Regenerative & Restorative Medicine,llc's NPI number?
- Genesis Regenerative & Restorative Medicine,llc's National Provider Identifier (NPI) is 1639861099, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Genesis Regenerative & Restorative Medicine,llc?
- Genesis Regenerative & Restorative Medicine,llc is classified in the NPPES registry as Physical Medicine & Rehabilitation Physician (Allopathic & Osteopathic Physicians).
- Where is Genesis Regenerative & Restorative Medicine,llc located?
- Genesis Regenerative & Restorative Medicine,llc's practice location on file with NPPES is 1893 N Clyde Morris Blvd Ste 120, Daytona Beach, FL 32117-5536.
- What is Genesis Regenerative & Restorative Medicine,llc's phone number?
- The practice phone number listed in the NPPES registry for Genesis Regenerative & Restorative Medicine,llc is (386) 866-9091.
- Does Genesis Regenerative & Restorative Medicine,llc accept Medicare?
- Genesis Regenerative & Restorative Medicine,llc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Genesis Regenerative & Restorative Medicine,llc?
- The authorized official listed on Genesis Regenerative & Restorative Medicine,llc's NPPES record is Michael Sandborn, Physician/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Genesis Regenerative & Restorative Medicine,llc's NPI active?
- Yes — Genesis Regenerative & Restorative Medicine,llc's NPI (1639861099) is active in the NPPES registry as of the last update on 2024-04-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.