Renew Wellness Inc

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

RENEW WELLNESS INC

Practice address

234 Crossways Park Dr
Woodbury, NY 11797-2015

Phone

(516) 477-8003

NPI assigned

Sep 27, 2024

Organization subpart

No

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

Authorized official

Name

Heidi Dawn Dietl, LMTNPI 1780201921

Title

Owner

Phone

(516) 477-8003

Specialties & licenses 1

Addresses

Practitioners 1

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

• Heidi Dawn Dietl

  • Massage Therapist
  • Woodbury, NY
  • NPI 1780201921
  NPD Authorized official

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

{
    "created_epoch": "1727395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727395200000",
    "number": "1366260473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ALLENBY DR",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117681421",
            "telephone_number": "516-477-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 CROSSWAYS PARK DR",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972015",
            "telephone_number": "516-477-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-27",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A",
        "authorized_official_last_name": "DIETL",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-477-8003",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ravindra Bhachawat Medicine PC
• Reflective Psychology Associates, PLLC
• Tina Reich, PH.D.
• Aimee Reifer
• Tara L Reinhardt, RPH
• Mary Ellen Renna, M.D.
• Mariz Magdy Rezkallah, PT
• Richard D. Abrash MD PC
• Susan Joy Rind, MS ED
• Lisa Ritter-Kahn, D.M.D.

• Massage Therapist in Woodbury, NY
• Providers in Woodbury, NY by specialty
• Massage Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.