Active NPI
Renew Physical Therapy
- Physical Therapy Clinic/Center
- Downers Grove, IL
National Provider Identifier
1003516618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- RENEW PHYSICAL THERAPY
- Practice address
- 4929 Middaugh Ave
Downers Grove, IL 60515-3542 - Phone
- (630) 400-6615
- NPI assigned
- Mar 3, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Megha Chanda, DPT
- Title
- Doctor of Physical Therapy
- Phone
- (630) 400-6615
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
4929 Middaugh Ave
Downers Grove, IL 60515-3542
Mailing address
4929 Middaugh Ave
Downers Grove, IL 60515-3542
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Woodridge, IL
- NPI 1942631619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677801600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695081600000",
"number": "1003516618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4929 MIDDAUGH AVE",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605153542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4929 MIDDAUGH AVE",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605153542",
"telephone_number": "630-400-6615"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENEW PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-03",
"last_updated": "2023-09-19",
"certification_date": "2023-09-19",
"status": "A",
"authorized_official_last_name": "CHANDA",
"authorized_official_first_name": "MEGHA",
"authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY",
"authorized_official_telephone_number": "630-400-6615",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Downers Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.