Ann Louise-Tardani Rennells, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501003947 Issued in MI

Practice address

885 Oak Ridge Rd
Muskegon, MI 49441-4023

Phone

(231) 733-1615

Fax

(231) 733-7815

NPI assigned

Jun 5, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pro Motion Therapy, LLC

  • Physical Therapist
  • Muskegon, MI
  • NPI 1538472279
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1205038759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1591 LEXINGTON AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494413125",
            "telephone_number": "231-759-0760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 OAK RIDGE RD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494414023",
            "telephone_number": "231-733-1615",
            "fax_number": "231-733-7815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENNELLS",
        "first_name": "ANN",
        "middle_name": "LOUISE-TARDANI",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501003947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Reid, LMSW
• Shelly Lynn Reilly, DDS
• Timothy M Reilly, DDS
• David Ray Reinhart
• Renegage Transport LLC
• Caitlin Rose Renner
• George Scott Renton, D.O.
• Emily Rentschler
• Gerald Scott Reschke, BS PHARMACY
• Julianne Resnick, RN

• Physical Therapist in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; 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.