Renee' Wennell Rupert, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1136 Issued in MA

Practice address

31 W Grove St
Middleboro, MA 02346-1806

Phone

(508) 947-5195

NPI assigned

Oct 14, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Ms. Renee' Mae Wennell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1192320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192320000000",
    "number": "1619165784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 HOWLAND RD",
            "city": "LAKEVILLE",
            "state": "MA",
            "postal_code": "023472214",
            "telephone_number": "508-946-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 W GROVE ST",
            "city": "MIDDLEBORO",
            "state": "MA",
            "postal_code": "023461806",
            "telephone_number": "508-947-5195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPERT",
        "first_name": "RENEE'",
        "middle_name": "WENNELL",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-14",
        "last_updated": "2007-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MA",
            "license": "1136",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA000517",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "000706-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE'",
            "last_name": "WENNELL",
            "middle_name": "MAE",
            "prefix": "MS.",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Claire Barbara Rose
• Jade Roylance
• Mark N Rudolph, M.D.
• Amanda Ruel
• Alexandra Talia Rugg
• Russell B. Fox, D.M.D. PC
• Sacred Minds Psychiatry PLLC
• Dhanatcha Sadetaporn, MD
• Richard Salvesen Jr.
• James J Samia, DMD

• Physical Therapy Assistant in Middleboro, MA
• Providers in Middleboro, MA by specialty
• Physical Therapy Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2007; 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.