Active NPI
Richard J Renehan Jr., P.T.
- Physical Therapist
- Forest Hill, MD
National Provider Identifier
1457435521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 16902
- Practice address
- 2217 Commerce Rd
Forest Hill, MD 21050-2565 - Phone
- (410) 638-0700
- Fax
- (410) 638-0700
- NPI assigned
- Oct 25, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 16902 | MD | Primary |
Addresses
Primary practice location
2217 Commerce Rd
Forest Hill, MD 21050-2565
Mailing address
310 Boeing CT
Abingdon, MD 21009-1502
Phone (410) 638-0700
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3716755 | Other | MD | AETNA HMO |
| 7953265 | Other | MD | AETNA PPO |
| 54281809 | Other | MD | CAREFIRST |
| S2720007 | Other | MD | CAREFIRST HMO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2217 Commerce Rd
Forest Hill, MD 21050-2565
Phone (410) 638-0700
Merit-based Incentive Payment System (MIPS)
- Final score
- 54.55 of 100
- Quality
- 80.72
- Improvement activities
- 0
- Cost
- 74.21
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| GML Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
2217 Commerce Rd
Forest Hill, MD 21050
Phone (410) 638-0700
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Gary Lynch Physical Therapy
- Physical Therapist
- Forest Hill, MD
- NPI 1255415436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457435521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 BOEING CT",
"city": "ABINGDON",
"state": "MD",
"postal_code": "210091502",
"telephone_number": "410-638-0700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2217 COMMERCE RD",
"city": "FOREST HILL",
"state": "MD",
"postal_code": "210502565",
"telephone_number": "410-638-0700",
"fax_number": "410-638-0700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENEHAN",
"first_name": "RICHARD",
"middle_name": "J",
"name_suffix": "Jr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "16902",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "3716755",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "7953265",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "54281809",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST HMO",
"identifier": "S2720007",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Forest Hill, MD
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.
- 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.