Active NPI
Reneta Djananova
- Physical Therapy Assistant
- Denver, CO
National Provider Identifier
1134348154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2048267
- Practice address
- 700 Colorado Blvd # 318
Denver, CO 80206-4084 - Phone
- (866) 801-9492
- Fax
- (866) 293-4719
- NPI assigned
- Apr 25, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2048267 | TX | Primary |
Addresses
Primary practice location
700 Colorado Blvd # 318
Denver, CO 80206-4084
Mailing address
14719 Barryknoll LN Apt 62
Houston, TX 77079-2854
Phone (281) 589-7473
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2048267 | TX | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1134348154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14719 BARRYKNOLL LN APT 62",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770792854",
"telephone_number": "281-589-7473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 COLORADO BLVD # 318",
"city": "DENVER",
"state": "CO",
"postal_code": "802064084",
"telephone_number": "866-801-9492",
"fax_number": "866-293-4719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DJANANOVA",
"first_name": "RENETA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2048267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.