Organization Active NPI

Renewal Rehabilitation Inc

  • Public Health or Welfare Agency
  • Tampa, FL
National Provider Identifier
1033661046
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
AL4154 Issued in FL
Legal business name
RENEWAL REHABILITATION INC
Practice address
613 S Magnolia Ave
Suite 2
Tampa, FL 33606-2767
Phone
(813) 254-9475
NPI assigned
Oct 26, 2016
Last updated
Oct 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2016

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

Authorized official

Name
Greg Todd, PT, OCS, CSCS
Title
Co-Owner/Physical Therapist
Phone
(813) 907-0430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X AL4154 FL Primary

Addresses

Primary practice location

613 S Magnolia Ave
Suite 2
Tampa, FL 33606-2767

Mailing address

613 S Magnolia Ave
Suite 2
Tampa, FL 33606-2767
Phone (813) 254-9475

National Provider Directory

National Provider Directory

Locations

613 S Magnolia Ave
Ste 2
Tampa, FL 33606
Phone (813) 254-9475

Practitioners & affiliated clinicians

Practitioners 3

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": "1477440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477440000000",
    "number": "1033661046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 S MAGNOLIA AVE",
            "address_2": "SUITE 2",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062767",
            "telephone_number": "813-254-9475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 S MAGNOLIA AVE",
            "address_2": "SUITE 2",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062767",
            "telephone_number": "813-254-9475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWAL REHABILITATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-26",
        "last_updated": "2016-10-26",
        "status": "A",
        "authorized_official_last_name": "TODD",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "CO-OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "813-907-0430",
        "authorized_official_credential": "PT, OCS, CSCS"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "FL",
            "license": "AL4154",
            "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 Oct 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.