Active NPI
Renew Physical Therapy Wellness
- Physical Therapy Clinic/Center
- Marion, IA
National Provider Identifier
1376315309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- RENEW PHYSICAL THERAPY WELLNESS
- Practice address
- 693 49TH St.
Marion, IA 52302 - Phone
- (319) 326-1664
- NPI assigned
- Oct 24, 2023
- Last updated
- Oct 24, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amanda Anne Tressel, PT, DOT
- Title
- Owner
- Phone
- (319) 383-3215
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
693 49TH St.
Marion, IA 52302
Mailing address
693 49TH St.
Marion, IA 52302
Phone (319) 326-1664
National Provider Directory
National Provider DirectoryLocations
693 49th St
Marion, IA 52302
Phone (319) 326-1664
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Cedar Rapids, IA
- NPI 1780322032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698105600000",
"number": "1376315309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "693 49TH ST.",
"city": "MARION",
"state": "IA",
"postal_code": "52302",
"telephone_number": "319-326-1664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "693 49TH ST.",
"city": "MARION",
"state": "IA",
"postal_code": "52302",
"telephone_number": "319-326-1664"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENEW PHYSICAL THERAPY WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-24",
"last_updated": "2023-10-24",
"certification_date": "2023-10-21",
"status": "A",
"authorized_official_last_name": "TRESSEL",
"authorized_official_first_name": "AMANDA",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "319-383-3215",
"authorized_official_credential": "PT, DOT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marion, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.