NPIMap

Organization Active NPI

Renewal Rehabilitation, Inc.

  • Physical Therapy Clinic/Center
  • Tampa, FL
National Provider Identifier
1033229067
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
RENEWAL REHABILITATION, INC.
Practice address
613 S Magnolia Ave
Tampa, FL 33606-2767
Phone
(813) 254-9475
Fax
(813) 251-0460
NPI assigned
Aug 31, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Michael A Anastasas, P.T.NPI 1821129156
Title
President/PT
Phone
(813) 254-9475

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)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X FL Primary

Addresses

Primary practice location

613 S Magnolia Ave
Tampa, FL 33606-2767

Mailing address

613 S Magnolia Ave
Tampa, FL 33606-2767
Phone (813) 254-9475

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120418000545 FL Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 1153582119 Practice locations: Tampa, FL

National Provider Directory

National Provider Directory

Locations

4100 W Kennedy Blvd
Tampa, FL 33609
Phone (727) 415-3848

4100 W Kennedy Blvd
Ste 302
Tampa, FL 33609

2008 Ashley Oaks Cir
Wesley Chapel, FL 33544
Phone (813) 907-0430

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1033229067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 S MAGNOLIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062767",
            "telephone_number": "813-254-9475",
            "fax_number": "813-251-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 S MAGNOLIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062767",
            "telephone_number": "813-254-9475",
            "fax_number": "813-251-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWAL REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ANASTASAS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/PT",
        "authorized_official_telephone_number": "813-254-9475",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.