Celino Cinco Renales, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT1717 Issued in AR

Practice address

593 Horsebarn Rd
#101
Rogers, AR 72758-8795

Phone

(479) 271-9191

Fax

(479) 271-9196

NPI assigned

Jul 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Arkansas Physical Therapy Services of Rogers, LLC

  • Physical Therapist
  • Rogers, AR
  • NPI 1295438828
  Medicare reassignment NPD
• Todd M. Wulf DC PA

  • Chiropractor
  • Rogers, AR
  • NPI 1417986373

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1265450076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3267",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727127713",
            "telephone_number": "479-271-9191",
            "fax_number": "479-271-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "593 HORSEBARN RD",
            "address_2": "#101",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588795",
            "telephone_number": "479-271-9191",
            "fax_number": "479-271-9196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENALES",
        "first_name": "CELINO",
        "middle_name": "CINCO",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT1717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "5Y445",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brianna Rehm
• Todd M Reiff, LCSW,ACSW
• Relational Wholeness PLLC
• Darion J Releford
• Renal Treatment Centers - Southeast, LP
• Renalsouth of Rogers, LLC
• Maci Caye Renner
• Renova Wellness & Aesthetics LLC
• Christine Ann Renuart, LCSW
• Kyra Sampaio Resende

• Physical Therapist in Rogers, AR
• Providers in Rogers, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.