Individual provider Active NPI

Richard J Renehan Jr., P.T.

  • Physical Therapist
  • Forest Hill, MD
National Provider Identifier
1457435521
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
16902 Issued in MD
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, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

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 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

IdentifierTypeStateIssuer
3716755OtherMDAETNA HMO
7953265OtherMDAETNA PPO
54281809OtherMDCAREFIRST
S2720007OtherMDCAREFIRST HMO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050224000164 MD Practitioner - Physical Therapist in Private Practice 1951354414 Reassigns benefits to 1 organization

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
GML Physical Therapy LLCGroup PAC ID 4183614233, 3 clinicians

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 100Reported as group
Quality
80.72
Improvement activities
0
Cost
74.21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
GML Physical Therapy LLC Physical Therapist CurrentSince Jan 3, 2005 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.

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.

Verify at the official NPI Registry.