Active NPI
Marqui Rennalls, PT, DPT
- Physical Therapist
- Washington, DC
National Provider Identifier
1538568191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT872667
- Practice address
- 5661 3Rd St NE Apt 460
Washington, DC 20011-2573 - Phone
- (914) 557-4416
- NPI assigned
- Aug 20, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0378281 | NY | |
| Physical Therapist | 225100000X | PT872667 | DC | Primary |
Addresses
Primary practice location
5661 3Rd St NE Apt 460
Washington, DC 20011-2573
Mailing address
5661 3Rd St NE Apt 460
Washington, DC 20011-2573
Phone (914) 557-4416
Other practice location 1
150 55th St
Lutheran Medical Center-Rehab Department
Brooklyn, NY 11220-2508
Phone (718) 630-7000 ext. 8221
Other practice location 2
55 E 126th St Apt 2
New York, NY 10035
Phone (914) 557-4416
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0378281 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| It's Private Practice Physical Therapy PLLC | Physical Therapist | Current | Accepting new patients |
| Soulplex Physical Therapy PLLC | Physical Therapist | Current | Accepting new patients |
| Mrennalls PLLC | Physical Therapist | Current | Accepting new patients |
Organizations & group practices 3
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.
-
- Physical Therapist
- Washington, DC
- NPI 1033968060
-
- Physical Therapist
- New York, NY
- NPI 1265093645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619568000000",
"number": "1538568191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5661 3RD ST NE APT 460",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200112573",
"telephone_number": "914-557-4416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5661 3RD ST NE APT 460",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200112573",
"telephone_number": "914-557-4416"
}
],
"practiceLocations": [
{
"address_1": "150 55th St",
"address_2": "Lutheran Medical Center-Rehab Department",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112202508",
"country_code": "US",
"telephone_number": "718-630-7000 x8221",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "55 E 126th St Apt 2",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "10035",
"country_code": "US",
"telephone_number": "914-557-4416",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RENNALLS",
"first_name": "MARQUI",
"name_prefix": "Ms.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-20",
"last_updated": "2021-04-28",
"certification_date": "2021-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "0378281",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DC",
"license": "PT872667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.