Michael Renta, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL.0017304 Issued in CO

Practice address

10346 Park Meadows Dr Apt 4347
Lone Tree, CO 80124-6887

Phone

(407) 404-3893

NPI assigned

Dec 21, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL, FL2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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

• Ati Holdings of Alabama, LLC

  • Physical Therapist
  • Lincoln, AL
  • NPI 1063952646
  Medicare reassignment NPD
• Sobe Innovative Rehabilitation PLLC

  • Physical Therapist
  • Miami, FL
  • NPI 1164800595
  Medicare reassignment NPD
• Strength and Balance Institute

  • Physical Therapist
  • Aventura, FL
  • NPI 1164077947
  NPD
• Cora Health Services Inc

  • Rehabilitation Clinic/Center
  • Orlando, FL
  • NPI 1043243215
  NPD (past)
• Cora Health Services, Inc

  • Rehabilitation Clinic/Center
  • Winter Garden, FL
  • NPI 1104786805
  NPD (past)

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

{
    "created_epoch": "1513814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1245746601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4912 MARBELLA ISLE DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328374743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10346 PARK MEADOWS DR APT 4347",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801246887",
            "telephone_number": "407-404-3893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENTA",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-21",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT33262",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0017304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mia Recupito, MD
• Ryan Paul Reichert, DO
• Jarrod Reida, RN
• McKenzie Sue Reifschneider, DC
• Renewal Surgery Center, LLC
• Restoration Spine & Joint, PLLC
• Matthew Reynolds, DO
• Ross A Reynolds, PA-C
• Thomas Everett Reynolds, D.O.
• Katrina Ribeiro, RN

• Physical Therapist in Lone Tree, CO
• Providers in Lone Tree, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.