Organization Active NPI

Renue Physical Therapy

  • Physical Therapist
  • Bay City, MI
National Provider Identifier
1134525389
Registry record updated Nov 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1871835405 Issued in MI
Legal business name
RENUE PHYSICAL THERAPY
Practice address
1607 Marquette St
Bay City, MI 48706-4179
Phone
(989) 295-4844
NPI assigned
Nov 17, 2014
Last updated
Nov 17, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
RENUE PHYSICAL THERAPYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 17, 2014

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

Authorized official

Name
Lyndsy McRoberts
Title
Director of Operations
Phone
(989) 295-4844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1871835405 MI Primary

Addresses

Primary practice location

1607 Marquette St
Bay City, MI 48706-4179

Mailing address

1607 Marquette St
Bay City, MI 48706-4179
Phone (989) 295-4844

National Provider Directory

National Provider Directory
Tax ID family
Renue 003 Saginaw2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416182400000",
    "number": "1134525389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 MARQUETTE ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487064179",
            "telephone_number": "989-295-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 MARQUETTE ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487064179",
            "telephone_number": "989-295-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENUE PHYSICAL THERAPY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RENUE PHYSICAL THERAPY",
        "enumeration_date": "2014-11-17",
        "last_updated": "2014-11-17",
        "status": "A",
        "authorized_official_last_name": "MCROBERTS",
        "authorized_official_first_name": "LYNDSY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "989-295-4844"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "1871835405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; 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.