Angela Marie Renner, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

102572 TEMP PT Issued in NE

Practice address

325 S 1St Ave
Broken Bow, NE 68822-2213

Phone

(308) 346-5111

Fax

(308) 346-5111

NPI assigned

Jun 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Angela Marie Rohling Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487680633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 S 1ST AVE",
            "address_2": "PO BOX 435",
            "city": "BROKEN BOW",
            "state": "NE",
            "postal_code": "688222213",
            "telephone_number": "308-872-5111",
            "fax_number": "308-872-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 S 1ST AVE",
            "city": "BROKEN BOW",
            "state": "NE",
            "postal_code": "688222213",
            "telephone_number": "308-346-5111",
            "fax_number": "308-346-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENNER",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "102572 TEMP PT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "ROHLING",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Physical Therapist in Broken Bow, NE
• Providers in Broken Bow, NE by specialty
• Physical Therapist in Nebraska

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.