Renee Diane Carnahan, MS PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305831298 Issued in VA

Practice address

7115 Leesburg Pike
Suite #305
Falls Church, VA 22043-2367

Phone

(703) 533-1515

Fax

(703) 894-4916

NPI assigned

Jul 29, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Renee Diane Cline Former name

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neurological Physical Therapy, PLLCGroup PAC ID 4688683592, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Neurological Physical Therapy, PLLC

  • Physical Therapist
  • Falls Church, VA
  • NPI 1235316696

  DC

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311897600000",
    "number": "1013295781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7115 LEESBURG PIKE",
            "address_2": "SUITE #305",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220432367",
            "telephone_number": "703-533-1515",
            "fax_number": "703-894-4916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7115 LEESBURG PIKE",
            "address_2": "SUITE #305",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220432367",
            "telephone_number": "703-533-1515",
            "fax_number": "703-894-4916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNAHAN",
        "first_name": "RENEE",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "MS PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-29",
        "last_updated": "2011-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305831298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMONWEALTH OF VIRGINIA BOARD OF PHYSICAL THERAPY",
            "identifier": "2305831298",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "CLINE",
            "middle_name": "DIANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael John Carino, DMD, MPH, MPA, MSST
• Mathew William Carl
• Jinju Annika Carlson-Harris, MSN, APRN, FNP-BC
• Mary S Carlson, MD
• Emily A Carmody, MA, CCC-SLP
• Mark Francis Carney, M.D.
• Deirdre Mary Carolan, CRNP, PH.D.
• Karen R Carpenter, MD
• Nadya Carriger, NP
• Sophia Elvira Carrodeguas, LCSW

• Physical Therapist in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.