Carol Marie Render, LMT, MMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

001900966 Issued in VA

Practice address

780 Pilot House Dr Ste 100a
Newport News, VA 23606-4411

Phone

(757) 592-9102

NPI assigned

Jul 28, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Knot So Zen, LLC

  • Massage Therapist
  • Newport News, VA
  • NPI 1184194003
  NPD (past) Authorized official

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

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1043734304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 PILOT HOUSE DR STE 100A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064411",
            "telephone_number": "757-592-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 PILOT HOUSE DR STE 100A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064411",
            "telephone_number": "757-592-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENDER",
        "first_name": "CAROL",
        "middle_name": "MARIE",
        "credential": "LMT, MMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "001900966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah M Remchuk, M.D.
• Renaissance Medical Training Group
• Renaissance Wellness
• Renal Treatment Centers Mid Atlantic Inc
• Renal Treatment Centers Mid Atlantic Inc
• Renee Delahoussaye, M.D., P.C.
• Renew Life, LLC
• Renewed Well-Being, LLC
• Renewing Minds, Inc.
• Renova Internal Medicine

• Massage Therapist in Newport News, VA
• Providers in Newport News, VA by specialty
• Massage Therapist in Virginia

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.