Individual provider Active NPI

Joseph Renteria, PT, DPT

  • Physical Therapist
  • Round Rock, TX
National Provider Identifier
1366056491
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1700 E Palm Valley Blvd Ste 395
Round Rock, TX 78664-4683
Phone
(512) 399-9059
NPI assigned
Sep 5, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

1700 E Palm Valley Blvd Ste 395
Round Rock, TX 78664-4683

Mailing address

148 Morning Dawn LN
Georgetown, TX 78628-3733
Phone (480) 703-8231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240808001350 TX Practitioner - Physical Therapist in Private Practice 0840737839 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sarol Ventures LLCGroup PAC ID 8325420946, 3 clinicians

Practice addresses (Care Compare)

1700 E Palm Valley Blvd
Suite 395
Round Rock, TX 78664-4683
Phone (512) 399-9059

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sarol Ventures LLC Physical Therapist CurrentSince Jul 15, 2024 Accepting new patients

Locations

1700 E Palm Valley Blvd
Ste 395
Round Rock, TX 78664
Phone (512) 354-4067

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1599264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1366056491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 MORNING DAWN LN",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283733",
            "telephone_number": "480-703-8231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E PALM VALLEY BLVD STE 395",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786644683",
            "telephone_number": "512-399-9059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENTERIA",
        "first_name": "JOSEPH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-05",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.