OrganizationActive
Rejuvenation Medspa
NPI 1780158287 · Family Medicine Physician · Bridgeport, WV
Provider details
- NPI number
- 1780158287
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Timothy Peasak, Owner/Provider(304) 841-1293
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
1400 Johnson Ave Ste 4a
Bridgeport, WV 26330-1063
Phone: (304) 848-9998
Fax: (304) 848-9996
Approximate (ZIP-level) locationGet directions
Mailing address
1400 Johnson Ave Ste 4a
Bridgeport, WV 26330-1063
Registry dates
- Enumerated
- 2019-01-17
- Last updated
- 2019-01-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.