Individual provider Active NPI

Renee Volpe Vanwie, MS,PT,OCS

  • Physical Therapist
  • Severna Park, MD
National Provider Identifier
1407047293
Registry record updated Aug 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15365 Issued in MD
Practice address
844 Ritchie Hwy
Suite 208
Severna Park, MD 21146-4127
Phone
(410) 544-0773
Fax
(410) 544-0774
NPI assigned
Aug 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 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 15365 MD Primary

Addresses

Primary practice location

844 Ritchie Hwy
Suite 208
Severna Park, MD 21146-4127

Mailing address

844 Ritchie Hwy
Suite 208
Severna Park, MD 21146-4127
Phone (410) 544-0773

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120120000636 MD Practitioner - Physical Therapist in Private Practice 8729039367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1982
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

844 Ritchie Hwy
Suite 208
Severna Park, MD 21146-4137
Phone (410) 544-0773

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
15365MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Severna Park Physical Therapy Inc. Physical Therapist CurrentSince Jul 1, 1988 Accepting new patients

Locations

844 Ritchie Hwy
Ste 208
Severna Park, MD 21146
Phone (410) 481-1140

Organizations & group practices 1

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": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186358400000",
    "number": "1407047293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 RITCHIE HWY",
            "address_2": "SUITE 208",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211464127",
            "telephone_number": "410-544-0773",
            "fax_number": "410-544-0774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 RITCHIE HWY",
            "address_2": "SUITE 208",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211464127",
            "telephone_number": "410-544-0773",
            "fax_number": "410-544-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANWIE",
        "first_name": "RENEE",
        "middle_name": "VOLPE",
        "credential": "MS,PT,OCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "15365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Severna Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; 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.

Verify at the official NPI Registry.