Amy Renslo Bock, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

295016 Issued in CA

Practice address

27251 Brio Cir
Mission Viejo, CA 92692-5057

Phone

(425) 367-1756

NPI assigned

Oct 18, 2018

Last updated

Jul 22, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Amy Lynn Renslo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Pelvicsanity, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Laguna Hills, CA
  • NPI 1225549223

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1539820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1205302163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27251 BRIO CIR",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926925057",
            "telephone_number": "425-367-1756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27251 BRIO CIR",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926925057",
            "telephone_number": "425-367-1756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCK",
        "first_name": "AMY",
        "middle_name": "RENSLO",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-18",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "295016",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT295016",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "RENSLO",
            "middle_name": "LYNN",
            "prefix": "DR.",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Edward J Block, M.D.
• Emily Block
• Stephanie Dawn Blodgett, PA-C
• Michael Blumenfeld, M.D.
• Emily Catherine Bocanegra, L.M.F.T.
• Body in Motion Mobile Physical Therapy & Wellness Inc
• Carroll Douglas Bohne, DDS
• Zachary Louis Boike
• Roger Boles, MD
• Alexandra Bond-Fulmer

• Physical Therapist in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.