Active NPI
Joseph Renteria, PT, DPT
- Physical Therapist
- Round Rock, TX
National Provider Identifier
1366056491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
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 | 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
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sarol Ventures LLC | Physical Therapist | Current | 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.