Active NPI
Yurong Ren
- Physical Therapist
- Phoenix, AZ
National Provider Identifier
1548044993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 33215
- Practice address
- 3700 N 24TH St Ste 230
Phoenix, AZ 85016-6526 - Phone
- (928) 482-6096
- NPI assigned
- Aug 24, 2023
- 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 | 33215 | AZ | Primary |
Addresses
Primary practice location
3700 N 24TH St Ste 230
Phoenix, AZ 85016-6526
Mailing address
1310 W Southern Ave Apt 3021
Mesa, AZ 85202-2208
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 |
|---|---|---|---|
| 33215 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 360 Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| 360 Physical Therapy, LLC | Current | Accepting new patients |
Locations
1076 W Chandler Blvd
Ste 103
Chandler, AZ 85224
Phone 4808211997116
3700 N 24th St
Ste 230
Phoenix, AZ 85016
Phone (602) 903-2343
2600 Dallas Pkwy
Ste 290
Frisco, TX 75034
Phone (945) 260-0010
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Queen Creek, AZ
- NPI 1689115164
-
- Specialist
- Scottsdale, AZ
- NPI 1932430949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692835200000",
"number": "1548044993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 W SOUTHERN AVE APT 3021",
"city": "MESA",
"state": "AZ",
"postal_code": "852022208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 N 24TH ST STE 230",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850166526",
"telephone_number": "928-482-6096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REN",
"first_name": "YURONG",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-24",
"last_updated": "2023-08-24",
"certification_date": "2023-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "33215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.