Renew Spine & Rehab PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

RENEW SPINE & REHAB PLLC

Practice address

456 Park Grove Dr
Katy, TX 77450-1571

Phone

(346) 646-3100

NPI assigned

Jul 31, 2023

Organization subpart

No

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

Authorized official

Name

Allison Pettiet

Title

VP Revenue

Phone

(346) 646-3100

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690761600000",
    "number": "1508547639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26865 INTERSTATE 45 STE 300",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773804046",
            "telephone_number": "346-646-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 PARK GROVE DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774501571",
            "telephone_number": "346-646-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW SPINE & REHAB PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A",
        "authorized_official_last_name": "PETTIET",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "VP REVENUE",
        "authorized_official_telephone_number": "346-646-3100"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Renew Health, PLLC
• Renewed Vision Behavioral Health Services LLC
• Renewlife Health Care Services Inc
• Morgan Rebecca Renfro
• Trent A Renfrow, PA-C
• Renova Wellness Clinic

• Chiropractor in Katy, TX
• Providers in Katy, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.