NPIMap

Organization Active NPI

Neurorenew Physical Therapy PC

  • Neurology Physical Therapist
  • San Francisco, CA
National Provider Identifier
1225928252
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology Physical TherapistTaxonomy code 2251N0400X
Legal business name
NEURORENEW PHYSICAL THERAPY PC
Practice address
501 Ortega St
San Francisco, CA 94122-4623
Phone
(508) 504-6045
Fax
(415) 712-0027
NPI assigned
Jul 9, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Authorized official

Name
Elizabeth Popolizio, PT, DPT, NCSNPI 1316509557
Title
Owner
Phone
(408) 504-6045

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251N0400X Primary

Addresses

Primary practice location

501 Ortega St
San Francisco, CA 94122-4623

Mailing address

501 Ortega St
San Francisco, CA 94122-4623
Phone (408) 504-6045

Other practice location 1

3645 Grand Ave Ste 203
Oakland, CA 94610-2039
Phone (408) 504-6045

Other practice location 2

1640 Valencia St Ste 2C
San Francisco, CA 94110-5040
Phone (408) 504-6045

Other names 1

  • NeuroRenew Physical Therapy & Wellness Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@neurorenewpt.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250930002287 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0648776518 Receives reassigned benefits from 1 practitioner
Practice locations: Oakland, CA; San Francisco, CA

National Provider Directory

National Provider Directory

Locations

1640 Valencia St
Ste 2C
San Francisco, CA 94110
Phone (408) 504-6045

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1752019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753920000000",
    "number": "1225928252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 ORTEGA ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941224623",
            "telephone_number": "408-504-6045",
            "fax_number": "415-712-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 ORTEGA ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941224623",
            "telephone_number": "508-504-6045",
            "fax_number": "415-712-0027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3645 Grand Ave Ste 203",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946102039",
            "country_code": "US",
            "telephone_number": "408-504-6045",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1640 Valencia St Ste 2C",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941105040",
            "country_code": "US",
            "telephone_number": "408-504-6045",
            "fax_number": "415-712-0027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEURORENEW PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-09",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A",
        "authorized_official_last_name": "POPOLIZIO",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-504-6045",
        "authorized_official_credential": "PT, DPT, NCS"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@neurorenewpt.com",
            "affiliation": "N",
            "endpointDescription": "unsecure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "501 Ortega St",
            "city": "San Francisco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "941224623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "NeuroRenew Physical Therapy & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.