Healthcare Provider Details

I. General information

NPI: 1659253151
Provider Name (Legal Business Name): RYEZ REGENERATIVE HEALTHSPAN PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2025
Last Update Date: 07/30/2025
Certification Date: 07/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

860 LANCASTER AVE
DEVON PA
19333-1316
US

IV. Provider business mailing address

657 MILITIA HILL DR
WEST CHESTER PA
19382-8702
US

V. Phone/Fax

Practice location:
  • Phone: 484-942-9333
  • Fax:
Mailing address:
  • Phone: 484-942-9333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ERIC C ZABAT
Title or Position: PRESIDENT AND MEDICAL DIRECTOR
Credential: MD
Phone: 484-942-9333