Rejuvenation Medspa
NPI 1780158287 · Family Medicine Physician · Bridgeport, WV
Rejuvenation Medspa is a Family Medicine Physician organization in Bridgeport, WV (NPI 1780158287).
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
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
Mailing address
Registry dates
- Enumerated
- 2019-01-17
- Last updated
- 2019-01-17
Frequently asked questions
- What is Rejuvenation Medspa's NPI number?
- Rejuvenation Medspa's National Provider Identifier (NPI) is 1780158287, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Rejuvenation Medspa?
- Rejuvenation Medspa is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Rejuvenation Medspa located?
- Rejuvenation Medspa's practice location on file with NPPES is 1400 Johnson Ave Ste 4a, Bridgeport, WV 26330-1063.
- What is Rejuvenation Medspa's phone number?
- The practice phone number listed in the NPPES registry for Rejuvenation Medspa is (304) 848-9998.
- Who is the authorized official for Rejuvenation Medspa?
- The authorized official listed on Rejuvenation Medspa's NPPES record is Timothy Peasak, Owner/Provider. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Rejuvenation Medspa's NPI active?
- Yes — Rejuvenation Medspa's NPI (1780158287) is active in the NPPES registry as of the last update on 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.