Organization Active NPI

Renew Physical Therapy Inc

  • Physical Therapist
  • Brent, AL
National Provider Identifier
1417255183
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
RENEW PHYSICAL THERAPY INC
Practice address
10452 Highway 5
Suite D
Brent, AL 35034-3923
Phone
(205) 316-9207
NPI assigned
Mar 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Authorized official

Name
Mrs. Ashlie Blake Cash, PTNPI 1912127267
Title
President
Phone
(205) 316-9207

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X AL Primary

Addresses

Primary practice location

10452 Highway 5
Suite D
Brent, AL 35034-3923

Mailing address

10452 Highway 5
Suite D
Brent, AL 35034-3923
Phone (205) 316-9207

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110608000730 AL Part B Supplier - Clinic/Group Practice 1456538081 Receives reassigned benefits from 1 practitioner
Practice locations: Brent, AL

National Provider Directory

National Provider Directory

Locations

10452 Highway 5
Ste D
Brent, AL 35034
Phone (205) 316-9207

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1299196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745280000000",
    "number": "1417255183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10452 HIGHWAY 5",
            "address_2": "SUITE D",
            "city": "BRENT",
            "state": "AL",
            "postal_code": "350343923",
            "telephone_number": "205-316-9207",
            "fax_number": "205-316-9208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10452 HIGHWAY 5",
            "address_2": "SUITE D",
            "city": "BRENT",
            "state": "AL",
            "postal_code": "350343923",
            "telephone_number": "205-316-9207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-04",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A",
        "authorized_official_last_name": "CASH",
        "authorized_official_first_name": "ASHLIE",
        "authorized_official_middle_name": "BLAKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-316-9207",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brent, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.