Individual provider Active NPI

Alex Renda, PT

  • Physical Therapist
  • San Francisco, CA
National Provider Identifier
1013384148
Registry record updated Aug 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT42804 Issued in CA
Practice address
246 1St St
Suite 101
San Francisco, CA 94105-2636
Phone
(415) 892-7560
NPI assigned
Aug 24, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT42804 CA Primary

Addresses

Primary practice location

246 1St St
Suite 101
San Francisco, CA 94105-2636

Mailing address

PO Box 1848
Novato, CA 94948-1848
Phone (415) 892-7560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201104001458 FL Practitioner - Physical Therapist in Private Practice 0042620932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
USA Sports Therapy South Miami IncGroup PAC ID 8123368156, 7 clinicians

Practice addresses (Care Compare)

360 Granello Ave
Coral Gables, FL 33146-1883
Phone (305) 420-5682

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT42804CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
USA Sports Therapy South Miami Inc Physical Therapist CurrentSince Sep 1, 2020 Accepting new patients
Chiro Medical Group, Inc Past Accepting new patients

Locations

360 Granello Ave
Coral Gables, FL 33146
Phone (305) 420-5682

21150 Biscayne Blvd
Ste 406
Miami, FL 33180

2605 S State Road 7
Ste 430
Wellington, FL 33414

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440374400000",
    "number": "1013384148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1848",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949481848",
            "telephone_number": "415-892-7560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 1ST ST",
            "address_2": "SUITE 101",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941052636",
            "telephone_number": "415-892-7560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENDA",
        "first_name": "ALEX",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-24",
        "last_updated": "2015-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT42804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; 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.