Individual provider Active NPI

Renee Stolove, PT

  • Physical Therapist
  • Bronx, NY
National Provider Identifier
1376754606
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
010526 Issued in NY
Practice address
750 Kappock St
Apartment 1101
Bronx, NY 10463-4612
Phone
(718) 543-6657
NPI assigned
May 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 010526 NY Primary

Addresses

Primary practice location

750 Kappock St
Apartment 1101
Bronx, NY 10463-4612

Mailing address

750 Kappock St
Apartment 1101
Bronx, NY 10463-4612
Phone (718) 543-6657

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110104000241 NY Practitioner - Physical Therapist in Private Practice 7719175900 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
010526NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehabilitation Physical Therapy Services LLC Physical Therapist CurrentSince Aug 29, 2016 Accepting new patients
Nysarc Inc Westchester County Chapter CurrentSince Oct 4, 2010 Accepting new patients

Locations

265 Saw Mill River Rd
Fl 3
Hawthorne, NY 10532
Phone (914) 495-4487

1415 Richmond Ave
Staten Island, NY 10314
Phone (212) 475-5540

Organizations & group practices 2

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": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376754606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 KAPPOCK ST",
            "address_2": "APARTMENT 1101",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104634612",
            "telephone_number": "718-543-6657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 KAPPOCK ST",
            "address_2": "APARTMENT 1101",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104634612",
            "telephone_number": "718-543-6657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLOVE",
        "first_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "010526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.