Renewal Rehabilitation Center, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

RENEWAL REHABILITATION CENTER, LLC

Practice address

2885 W 5TH North St Ste A2
Summerville, SC 29483-9628

Phone

(843) 970-7010

NPI assigned

Aug 26, 2014

Organization subpart

No

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

Authorized official

Name

Tamara Green, PT

Title

Physical Therapist

Phone

(843) 813-1476

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Roxanne Robes, PTA

  • Physical Therapy Assistant
  • Saint George, SC
  • NPI 1073235032
  NPD
• Kelsey Sanders, PTA

  • Physical Therapy Assistant
  • Saint George, SC
  • NPI 1346917077
  NPD
• Gary Shane Zaccagnini, PTA

  • Physical Therapy Assistant
  • Saint George, SC
  • NPI 1427793165
  NPD

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1376943555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2885 W 5TH NORTH ST STE A2",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294839628",
            "telephone_number": "843-970-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2885 W 5TH NORTH ST STE A2",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294839628",
            "telephone_number": "843-970-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWAL REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-26",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "843-813-1476",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Reisdorph, APRN
• Reliable Medical Equipment of Summerville, LLC
• Reliable Medical Equipment, LLC
• Reliant Integrated Services, LLC
• Ryan Crosbie Relyea, DO
• Harper Savannah Rentz, DC
• Renu Physical Therapy & Wellness, LLC
• Jennifer Repaskey, PA
• Julia Ann Reser, OTR/L
• Results Chiropractic Centre Inc

• Physical Therapy Clinic/Center in Summerville, SC
• Providers in Summerville, SC by specialty
• Physical Therapy Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.