Renewal Physical Therapy PLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

RENEWAL PHYSICAL THERAPY PLC

Practice address

53 Railroad St Unit 1
Richmond, VT 05477-7749

Phone

(845) 594-9718

NPI assigned

Jul 23, 2021

Organization subpart

No

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

Authorized official

Name

Kaleigh Mulpeter, PT, DPTNPI 1932713971

Title

Dr.

Phone

(845) 594-9718

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kaleigh Anne Mulpeter, DPT

  • Physical Therapist
  • Richmond, VT
  • NPI 1932713971
  Medicare reassignment Care Compare group NPD Authorized official
• Andrea Heelan, DPT

  • Physical Therapist
  • Vancouver, WA
  • NPI 1851983787

  Physical Therapist, VT

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1336712660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 180",
            "city": "HUNTINGTON",
            "state": "VT",
            "postal_code": "054620180",
            "telephone_number": "845-594-9718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 RAILROAD ST UNIT 1",
            "city": "RICHMOND",
            "state": "VT",
            "postal_code": "054777749",
            "telephone_number": "845-594-9718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWAL PHYSICAL THERAPY PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-23",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "MULPETER",
        "authorized_official_first_name": "KALEIGH",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "845-594-9718",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul J. Parker, M.D.
• Rose Poney, LCMHC
• Shannon Porter
• Victoria Priganc, PH.D., OTR, CHT, CLT
• Sarah Quintal
• Richmond Family Medicine PLLC
• Richmond Pediatric & Adolescent Medicine
• Richmond Rescue Incorporated
• Riverside Psychology PLLC
• Rooted Wellness PLC

• All providers in Richmond, VT
• Physical Therapy Clinic/Center in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.