NPIMap

Organization Active NPI

Renue 009 Midland LLC

Doing business as Renue Physical Therapy

  • Physical Therapy Clinic/Center
  • Midland, MI
National Provider Identifier
1174963961
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
RENUE 009 MIDLAND LLC
Doing business as
Renue Physical Therapy
Practice address
2520 W Wackerly St
Midland, MI 48640-6921
Phone
(989) 423-1240
Fax
(989) 423-1243
NPI assigned
Jun 26, 2013
Last updated
Apr 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Authorized official

Name
Anthony C Klapish
Title
President
Phone
(989) 928-1337

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Occupational Therapist 225X00000X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

2520 W Wackerly St
Midland, MI 48640-6921

Mailing address

804 N Water St
Bay City, MI 48708-5620
Phone (989) 450-3341

Other names 1

  • Renue Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131104001170 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1557596376 Receives reassigned benefits from 46 practitioners
Practice locations: Midland, MI

National Provider Directory

National Provider Directory

Locations

2205 Jefferson Ave
#A26A
Midland, MI 48640
Phone (989) 832-7937

2524 W Wackerly St
Midland, MI 48640
Phone (989) 423-1240

Practitioners & affiliated clinicians

Practitioners 47

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.

View all 47

NPI Registry JSON

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744243200000",
    "number": "1174963961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 N WATER ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487085620",
            "telephone_number": "989-450-3341",
            "fax_number": "989-778-1237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 W WACKERLY ST",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406921",
            "telephone_number": "989-423-1240",
            "fax_number": "989-423-1243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENUE 009 MIDLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-26",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A",
        "authorized_official_last_name": "KLAPISH",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-928-1337"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renue Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Renue Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.