Active NPI
Ronald Renard, PT
- Physical Therapist
- Marshall, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 941 Cherokee Dr
Suite 2a
Marshall, MO 65340-3646 - Phone
- (660) 831-1895
- Fax
- (660) 831-1898
- NPI assigned
- Nov 7, 2006
- Sex
- Male
- Sole proprietor
- No
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 Therapist | 225100000X | Primary |
Addresses
Primary practice location
941 Cherokee Dr
Suite 2a
Marshall, MO 65340-3646
Mailing address
3301 Berrywood Dr
Suite 204
Columbia, MO 65201-6517
Phone (573) 449-8771
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101983 | Other | MO | LICENSE# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
203 E 2ND St
Milan, MO 63556-1333
Phone (660) 265-3055
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Missouri Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Boone Physician Services, LLC | Current | Accepting new patients | |
| Bothwell Regional Health Center | Past | Accepting new patients | |
| BDM Associates LLC | Physical Therapist | Past | Accepting new patients |
Locations
603 S Henry Clay Blvd
Ste B
Ashland, MO 65010
Phone (573) 657-1915
1238 N Remington St
Centralia, MO 65240
Phone (573) 682-2230
3301 Berrywood Dr
Ste 2
Columbia, MO 65201
Phone (573) 449-8771
3301 Berrywood Dr
Ste 204
Columbia, MO 65201
Phone (573) 374-7579
1705 E Broadway
Ste 280
Columbia, MO 65201
Phone (573) 815-7119
1605 E Broadway
Ste 300
Columbia, MO 65201
Phone (573) 256-7700
1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000
100 E Davis St
Fayette, MO 65248
Phone (660) 248-3053
1002 Diamond Rdg
Ste 800
Jefferson City, MO 65109
Phone (573) 761-9360
941 Cherokee Dr
Ste 2A
Marshall, MO 65340
Phone (660) 831-1895
203 E 2nd St
Milan, MO 63556
Phone (660) 265-3055
3222 W 16th St
Sedalia, MO 65301
Phone (660) 827-6800
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Columbia, MO
- NPI 1760893259
-
- Physical Therapist
- Columbia, MO
- NPI 1558436592
-
- Physical Therapist
- Columbia, MO
- NPI 1801847033
-
- Rural Health Clinic/Center
- Cole Camp, MO
- NPI 1497705313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426636800000",
"number": "1164591921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3301 BERRYWOOD DR",
"address_2": "SUITE 204",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652016517",
"telephone_number": "573-449-8771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "941 CHEROKEE DR",
"address_2": "SUITE 2A",
"city": "MARSHALL",
"state": "MO",
"postal_code": "653403646",
"telephone_number": "660-831-1895",
"fax_number": "660-831-1898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENARD",
"first_name": "RONALD",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-07",
"last_updated": "2015-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE#",
"identifier": "101983",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marshall, MO
- Regional Health Care Clinic Inc
- Regional Health Care Clinic Inc
- Regional Health Care Clinic, Inc
- Regional Health Care Clinic, Inc.
- Misty Relos, MA, LPC, NCC
- Norberto Restituto, MD
- Morgan Renae Ritchie, MS, CCC-SLP
- Gerald D Robertson, DC
- Shirley Ruth Robertson, M.A., L.P.C, N.C.C
- Jonathan Quentin Robinson, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.