Active NPI
Cathleen Renkiewicz, PT
- Physical Therapist
- Fairfax, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305002220
- Practice address
- 9229 Arlington Blvd
Fairfax, VA 22031-2504 - Phone
- (703) 277-6612
- Fax
- (703) 383-0206
- NPI assigned
- Dec 22, 2009
- Last updated
- Jul 8, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 2305002220 | VA | Primary |
Addresses
Primary practice location
9229 Arlington Blvd
Fairfax, VA 22031-2504
Mailing address
9229 Arlington Blvd
Fairfax, VA 22031-2504
Phone (703) 277-6612
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3020 Hamaker CT
Suite 100
Fairfax, VA 22031-2233
Phone (703) 844-8599
7905 Malcolm Rd
Suite 201
Clinton, MD 20735-1749
Phone (301) 856-0050
9229 Arlington Blvd
Fairfax, VA 22031-2504
Phone (703) 277-6611
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Temple Foundation Inc | Physical Therapist | Current | Accepting new patients |
| The Temple Foundation Inc. | Current | Accepting new patients |
Locations
3020 Hamaker Ct
Ste 100
Fairfax, VA 22031
Phone (703) 844-8599
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba The Virginian
- Physical Therapy Clinic/Center
- Fairfax, VA
- NPI 1336366079
DC, Physical Therapist
-
- Physical Medicine & Rehabilitation Physician
- Waldorf, MD
- NPI 1558714824
DC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436313600000",
"number": "1366771396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9229 ARLINGTON BLVD",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220312504",
"telephone_number": "703-277-6612",
"fax_number": "703-383-0206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9229 ARLINGTON BLVD",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220312504",
"telephone_number": "703-277-6612",
"fax_number": "703-383-0206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENKIEWICZ",
"first_name": "CATHLEEN",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-22",
"last_updated": "2015-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305002220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; 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.