Renee Adele Crites, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

11256645-2401 Issued in UT

Practice address

100 Mario Capecchi Drive
Salt Lake City, UT 84113

Phone

(801) 662-4980

NPI assigned

Aug 26, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: renee.hensiek@imail.org

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1629625488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3321 S 3010 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841093170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MARIO CAPECCHI DRIVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84113",
            "telephone_number": "801-662-4980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRITES",
        "first_name": "RENEE",
        "middle_name": "ADELE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-26",
        "last_updated": "2024-04-30",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "UT",
            "license": "11256645-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Renee.hensiek@imail.org",
            "affiliation": "Y",
            "endpointDescription": "Work email",
            "affiliationName": "Primary Children's Medical Center",
            "address_1": "100 Mario Capecchi Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841128924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Samaya Sofia Cristina
• Lois Feliz Cristobal, RGC
• Kenneth L. Critchfield II, PH.D.
• Reagan Critchfield, RDN
• Suzanne Elizabeth Critchley, PT
• Critical Care Systems, LLC
• Critical Care Systems, LLC
• Natasha Crivelli
• Nihad Crnica
• Deeanna Croasmun, ACMHC

• Pediatric Physical Therapist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Pediatric Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.