Renewal MN LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

RENEWAL MN LLC

Practice address

10300 Hennepin Town Rd
Eden Prairie, MN 55347-5100

Phone

(952) 444-5000

NPI assigned

Sep 2, 2021

Organization subpart

No

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

Authorized official

Name

Eliezer Meystel

Title

Manager

Phone

(847) 983-8750

Specialties & licenses 3

Addresses

Other names 1

• Renewal Rehab Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Renewal Rehab LLC

  • Occupational Therapist
  • Lincolnwood, IL
  • NPI 1033460555

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630540800000",
    "number": "1376211540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7358 N LINCOLN AVE STE 160",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 HENNEPIN TOWN RD",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553475100",
            "telephone_number": "952-444-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWAL MN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A",
        "authorized_official_last_name": "MEYSTEL",
        "authorized_official_first_name": "ELIEZER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-983-8750"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renewal Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrea Reinardy
• Amber Reis, LMFT
• Reliable Ride LLC
• Karissa Remer
• Renal Treatment Centers-Illinois Inc
• Rachel Rhyner
• Lionel Wayne Rice Jr., ATC
• Mavis Rice, MA LP
• Mariah Richards-Maynard, MFT
• Sharon Richards

• Physical Therapist in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.