Active NPI
S. Renea Bedard, M.P.T.
- Physical Therapist
- Lenoir, NC
National Provider Identifier
1336355353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8270
- Practice address
- 1031 Morganton Blvd SW
Quest 4 Life Rehab
Lenoir, NC 28645-5669 - Phone
- (828) 757-6226
- Fax
- (828) 757-6289
- NPI assigned
- May 15, 2007
- 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 | 8270 | NC | Primary |
Addresses
Primary practice location
1031 Morganton Blvd SW
Quest 4 Life Rehab
Lenoir, NC 28645-5669
Mailing address
1513 Southpointe Dr
Morganton, NC 28655-6141
Phone (828) 584-3914
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 136KO | Other | NC | BCBS OF NC ID NUMBER |
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 |
|---|---|---|---|
| 8270 | NC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336355353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1513 SOUTHPOINTE DR",
"city": "MORGANTON",
"state": "NC",
"postal_code": "286556141",
"telephone_number": "828-584-3914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1031 MORGANTON BLVD SW",
"address_2": "QUEST 4 LIFE REHAB",
"city": "LENOIR",
"state": "NC",
"postal_code": "286455669",
"telephone_number": "828-757-6226",
"fax_number": "828-757-6289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEDARD",
"first_name": "S.",
"middle_name": "RENEA",
"name_prefix": "Mrs.",
"credential": "M.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "8270",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC ID NUMBER",
"identifier": "136KO",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lenoir, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.