Michele Lee Renth, PT
Individual provider Active NPI Physical Therapist · Fairview Heights, IL
NPI 1316057490 · NPPES record last updated Apr 23, 2025
Key facts
- NPI
- 1316057490
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070.008243 (IL)
- Practice address
- 5900 N Illinois
Suite 9
Fairview Heights, IL 62208 - Phone
- (314) 621-1416
- Fax
- (618) 624-9330
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Comprehensive Therapeutics LTD
Practice addresses (Care Compare)
844 Cambridge Blvd
O Fallon, IL 62269-1976
Phone (618) 242-3742
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041102000509 | IL | Practitioner - Physical Therapist in Private Practice | 5890757819 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.008243 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Therapeutics LTD | Physical Therapist | Current |
Accepting new patients |
| Comprehensive Therapeutics LTD | Physical Therapist | Current |
Accepting new patients |
| Rehab Management Group, LLC | Physical Therapist | Current |
Accepting new patients |
| Prorehab, PC | Past | Accepting new patients | |
| Prorehab PC | Physical Therapist | Past | Accepting new patients |
Locations
15 Apex Dr
Highland, IL 62249
Phone (618) 441-0482
1015 Oconor Ave
La Salle, IL 61301
Phone (224) 616-5446
210 Hartman Ln
Ste 500
O Fallon, IL 62269
Phone (618) 589-9000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070.008243 | IL | Yes |
Addresses
Primary practice location
5900 N Illinois
Suite 9
Fairview Heights, IL 62208
Mailing address
917 Phillip CT
O Fallon, IL 62269-3101
Phone (618) 540-9885
Other names
- Michele Lee Griffin
Other providers in Fairview Heights, IL
- Season Reiler
- Karen E. Reinacher
- Denise Reissig
- Christopher Michael Renner
- Kelly Rensing
- Stephanie A Rhein
- Stephanie Rheinhardt
- Casandra M. Rhodes
- Richard S Chen DDS LTD
- Katherine Rieger
All providers in Fairview Heights, IL · Physical Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.