Active NPI
Marion Elizabeth Renfrow, M.S.P.T.
- Physical Therapist
- Lakewood, CO
National Provider Identifier
1487092953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6449
- Practice address
- 424 S Kendall St
Lakewood, CO 80226-3406 - Phone
- (303) 762-1791
- NPI assigned
- Jun 6, 2013
- Sex
- Female
- 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 | 6449 | CO | Primary |
Addresses
Primary practice location
424 S Kendall St
Lakewood, CO 80226-3406
Mailing address
424 S Kendall St
Lakewood, CO 80226-3406
Phone (303) 762-1791
Other names 1
- Mrs. Mary Beth Renfrow
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6449 | CO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370476800000",
"number": "1487092953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "424 S KENDALL ST",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802263406",
"telephone_number": "303-762-1791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "424 S KENDALL ST",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802263406",
"telephone_number": "303-762-1791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENFROW",
"first_name": "MARION",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "M.S.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-06",
"last_updated": "2013-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "6449",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY BETH",
"last_name": "RENFROW",
"prefix": "MRS.",
"credential": "M.S.P.T.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.