Renew Physical Therapy Specialists PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

RENEW PHYSICAL THERAPY SPECIALISTS PLLC

Practice address

4765 E 91St St Ste 100
Tulsa, OK 74137-2843

Phone

(918) 698-4402

NPI assigned

Oct 14, 2021

Organization subpart

No

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

Authorized official

Name

Kayla UnruhNPI 1114460649

Title

Owner

Phone

(918) 698-4402

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 5

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.

• Kayla Unruh, DPT

  • Specialist
  • Tulsa, OK
  • NPI 1114460649
  Medicare reassignment Care Compare group NPD Authorized official
• Emily M Rigney, DPT

  • Physical Therapist
  • Claremore, OK
  • NPI 1215429089
  Medicare reassignment Care Compare group NPD
• Tala Thorne-Bateman, DPT

  • Physical Therapist
  • Tulsa, OK
  • NPI 1780571687
  Medicare reassignment Care Compare group NPD
• Kelsi Odell, PT, DPT

  • Physical Therapist
  • Stillwater, OK
  • NPI 1174239529
  Medicare reassignment NPD
• Hailee Lynn Wiese, DPT

  • Physical Therapist
  • Tulsa, OK
  • NPI 1801511142
  Medicare reassignment NPD

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

{
    "created_epoch": "1634169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634169600000",
    "number": "1114680386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4765 E 91ST ST STE 100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741372843",
            "telephone_number": "918-698-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4765 E 91ST ST STE 100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741372843",
            "telephone_number": "918-698-4402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW PHYSICAL THERAPY SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-14",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A",
        "authorized_official_last_name": "UNRUH",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-698-4402"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renaissance Management Group, Inc
• Renaissance Medical of Oklahoma, P.C.
• Renal Treatment Centers West Inc (Central Tulsa Dialysis Center)
• Renal Treatment Centers West Inc (Tulsa Dialysis Center)
• Latosha Renee, MSW
• Renew Sleep Solutions, Inc.
• Renewed Hope Counseling LLC
• Dustin Patrick Renfro, CRNA
• Jill Suzanne Renfro, APRN
• Jonathan Renfro

• Physical Therapist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; 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.