Renew Rehabilitative Medicine

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

Legal business name

RENEW REHABILITATIVE MEDICINE

Practice address

24725 W 12 Mile Rd Ste 260
Southfield, MI 48034-8310

Phone

(248) 382-8052

NPI assigned

Jul 20, 2021

Last updated

May 20, 2022By 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

Mrs. Morgan Glazer

Title

Authorized Official

Phone

(248) 550-4800

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653004800000",
    "number": "1184297954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24725 W 12 MILE RD STE 260",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480348310",
            "telephone_number": "248-382-8052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24725 W 12 MILE RD STE 260",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480348310",
            "telephone_number": "248-382-8052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW REHABILITATIVE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-20",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A",
        "authorized_official_last_name": "GLAZER",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "248-550-4800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis J Remer, CRNA
• Renaissance Endodontics, PLLC
• Renaissance Home Healthcare Services, Inc.
• Renal Treatment Centers-Illinois Inc (Southfield West Dialysis)
• Renal Treatment Centers-Illinois Inc. (Cornerstone Dialysis)
• Renew Spine and Rehab Inc
• Ricketa Reno
• Renovis Care Company
• Renovis Choice Company
• Renovis Health LLC (Renovis Health)

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; 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.