Individual provider Active NPI

Marqui Rennalls, PT, DPT

  • Physical Therapist
  • Washington, DC
National Provider Identifier
1538568191
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT872667 Issued in DC
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

Updated by the provider on Apr 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
0378281NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.