Renegade Warehouse

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

RENEGADE WAREHOUSE

Practice address

10841 Wood Rd
Miamisburg, OH 45342

Phone

(937) 694-6226

NPI assigned

Nov 23, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Chelsea Marie Muncy, PTANPI 1669981890

Title

Head Owner

Phone

(937) 694-6226

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chelsea Marie Muncy, PTA

  • Physical Therapy Assistant
  • Dayton, OH
  • NPI 1669981890
  NPD Authorized official

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

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637625600000",
    "number": "1619634789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 DECKER DR",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453426415",
            "telephone_number": "937-694-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10841 WOOD RD",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "45342",
            "telephone_number": "937-694-6226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEGADE WAREHOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-23",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-09",
        "status": "A",
        "authorized_official_last_name": "MUNCY",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "HEAD OWNER",
        "authorized_official_telephone_number": "937-694-6226",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edneyshia Reed, RN, CBS
• Jaylah Reed
• Shayna Reed
• Aalliyah Ariane Reese, RBT
• Elizabeth Regish, RBT
• Renovate Health and Wellness
• Restoration Homecare
• Thomas L Retzios, DPM
• Stacy Reverman
• Jordan Leigh Rhyan, APRN, PMHNP-BC

• Physical Therapy Clinic/Center in Miamisburg, OH
• Providers in Miamisburg, OH by specialty
• Physical Therapy Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.