Sara Rose Renke, CTRS

Primary specialty

Recreation TherapistTaxonomy code 225800000X

License

58958 Issued in MI

Practice address

1669 W Maple Rd
Birmingham, MI 48009-1230

Phone

(248) 646-3347

Fax

(248) 646-4480

NPI assigned

Jul 18, 2011

Last updated

Jul 18, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Variety Far Conservatory

  • Developmentally Disabled Services Day Training Agency
  • Birmingham, MI
  • NPI 1053566398
  NPD (past)

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310947200000",
    "number": "1255629812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1669 W MAPLE RD",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480091230",
            "telephone_number": "248-646-3347",
            "fax_number": "248-646-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1669 W MAPLE RD",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480091230",
            "telephone_number": "248-646-3347",
            "fax_number": "248-646-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENKE",
        "first_name": "SARA",
        "middle_name": "ROSE",
        "credential": "CTRS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-18",
        "last_updated": "2011-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": "MI",
            "license": "58958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Refine Physical Therapy LLC
• Ann M Rehm, MD
• Grace Danielle Reich, MT-BC
• Claude Reitelman, MD
• Sydney L Reiter, MSW, LCSW, ACSW
• Alexa Resetar, TLLP
• Revitalize Day Spa
• Jamie Z Revitz, MA
• Brian Reyes, DDS,MS
• Antonia Rae Ricelli

• Recreation Therapist in Birmingham, MI
• Providers in Birmingham, MI by specialty
• Recreation Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; 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.