NPIMap

Organization Active NPI

Renew Physiotherapy

  • Physical Therapy Clinic/Center
  • Mobile, AL
National Provider Identifier
1558857490
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
RENEW PHYSIOTHERAPY
Practice address
3480 Spring Hill Ave
Mobile, AL 36608-1523
Phone
(251) 589-6642
Fax
(251) 589-6150
NPI assigned
Jul 3, 2018
Last updated
Apr 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Authorized official

Name
Tara Jewel Jones
Title
Doo
Phone
(251) 605-2482

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

3480 Spring Hill Ave
Mobile, AL 36608-1523

Mailing address

3480 Spring Hill Ave
Mobile, AL 36608-1523
Phone (251) 589-6642

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180910001487 AL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8224388400 Receives reassigned benefits from 2 practitioners
Practice locations: Mobile, AL

National Provider Directory

National Provider Directory

Locations

1924K Dauphin Island Pkwy
Mobile, AL 36605
Phone (251) 308-9800

3480 Spring Hill Ave
Mobile, AL 36608
Phone (251) 589-6642

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1530576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617753600000",
    "number": "1558857490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3480 SPRING HILL AVE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081523",
            "telephone_number": "251-589-6642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3480 SPRING HILL AVE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081523",
            "telephone_number": "251-589-6642",
            "fax_number": "251-589-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW PHYSIOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-03",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "JEWEL",
        "authorized_official_title_or_position": "DOO",
        "authorized_official_telephone_number": "251-605-2482"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.