Renew Sports Rehab: Concierge Physical Therapy and Performance, Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

RENEW SPORTS REHAB: CONCIERGE PHYSICAL THERAPY AND PERFORMANCE, INC

Practice address

1951 W 236TH St
Torrance, CA 90501-6025

Phone

(424) 262-8261

NPI assigned

Mar 20, 2023

Last updated

Mar 20, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Isaac Auyeung, PT, DPTNPI 1851868491

Title

Ceo

Phone

(424) 262-8261

Specialties & licenses 1

Addresses

Other names 1

• Renew Sports Rehab Other name

Practitioners 1

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.

• Isaac Auyeung

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1851868491

  Physical Therapy

  NPD Authorized official

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1164124871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 W 236TH ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905016025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 W 236TH ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905016025",
            "telephone_number": "424-262-8261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW SPORTS REHAB: CONCIERGE PHYSICAL THERAPY AND PERFORMANCE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-18",
        "status": "A",
        "authorized_official_last_name": "AUYEUNG",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "424-262-8261",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renew Sports Rehab",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Renaissance South la
• Renaissance South la, Inc. (Secure Care Medical Clinic)
• Hilary K Renaldy, MD
• Roberta I Rendon, D.C.
• Ryan Rendon, RN
• Richard Renslo, M.D.
• Desiree Christine Renteria
• Martha Renteria
• Monica Renteria
• Renuka Boyapalli M D a Medical Corporation

• Physical Therapy Clinic/Center in Torrance, CA
• Providers in Torrance, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.