Active NPI
Jennifer Boyle Renner, PT
- Physical Therapist
- Baltimore, MD
National Provider Identifier
1245538099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 23578
- Practice address
- 707 N Broadway
Kennedy Krieger Institute
Baltimore, MD 21205-1832 - Phone
- (443) 923-9400
- Fax
- (443) 923-9405
- NPI assigned
- Mar 3, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 23578 | MD | Primary |
Addresses
Primary practice location
707 N Broadway
Kennedy Krieger Institute
Baltimore, MD 21205-1832
Mailing address
2931 E Biddle St
Patient Accounting
Baltimore, MD 21213-3939
Phone (443) 923-1870
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23578 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743120000000",
"number": "1245538099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2931 E BIDDLE ST",
"address_2": "PATIENT ACCOUNTING",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212133939",
"telephone_number": "443-923-1870",
"fax_number": "443-923-1895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 N BROADWAY",
"address_2": "KENNEDY KRIEGER INSTITUTE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212051832",
"telephone_number": "443-923-9400",
"fax_number": "443-923-9405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENNER",
"first_name": "JENNIFER",
"middle_name": "BOYLE",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-03",
"last_updated": "2025-03-28",
"certification_date": "2025-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "23578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.