Individual provider Active NPI

Lily Rennhoff, CCC-SLP

  • Speech-Language Pathologist
  • Bedford, TX
National Provider Identifier
1619760352
Registry record updated May 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
123524 Issued in TX
Practice address
217 Harwood Rd Ste 215
Bedford, TX 76021-4100
Phone
(817) 393-7740
Fax
(682) 334-7510
NPI assigned
May 26, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 123524 TX Primary

Addresses

Primary practice location

217 Harwood Rd Ste 215
Bedford, TX 76021-4100

Mailing address

217 Harwood Rd Ste 215
Bedford, TX 76021-4100
Phone (817) 393-7740

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250622000088 TX Practitioner - Qualified Speech Language Pathologist 5991217457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Louisiana State University School of Medicine in Shreveport, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dicks Bigheart LLCGroup PAC ID 1355702010, 8 clinicians

Practice addresses (Care Compare)

217 Harwood Rd
Bedford, TX 76021-4100
Phone (817) 393-7740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
123524TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dick'S Bigheart, LLC CurrentSince Jun 4, 2025 Accepting new patients

Locations

217 Harwood Rd
Bedford, TX 76021
Phone (817) 393-7740

217 Harwood Rd
Ste 215
Bedford, TX 76021
Phone (817) 393-7740

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1748217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748217600000",
    "number": "1619760352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 HARWOOD RD STE 215",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760214100",
            "telephone_number": "817-393-7740",
            "fax_number": "682-334-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 HARWOOD RD STE 215",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760214100",
            "telephone_number": "817-393-7740",
            "fax_number": "682-334-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENNHOFF",
        "first_name": "LILY",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-26",
        "last_updated": "2025-05-26",
        "certification_date": "2025-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "123524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.