Individual provider Active NPI

Renee Lynn Amormino, RRT

  • General Care Registered Respiratory Therapist
  • Troy, MI
National Provider Identifier
1629874060
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Care Registered Respiratory TherapistTaxonomy code 2279G1100X
License
4401003633 Issued in MI
Practice address
1950 E Wattles Rd Ste 101
Troy, MI 48085-5099
Phone
(248) 238-8374
Fax
(248) 243-8966
NPI assigned
Feb 24, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Care Registered Respiratory Therapist 2279G1100X 4401003633 MI Primary

Addresses

Primary practice location

1950 E Wattles Rd Ste 101
Troy, MI 48085-5099

Mailing address

1950 E Wattles Rd Ste 101
Troy, MI 48085-5099
Phone (248) 238-8374

Other names 1

  • Renee Lynn Mathews Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4401003633MIMDGeneral Care Registered Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1740355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1629874060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 E WATTLES RD STE 101",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480855099",
            "telephone_number": "248-238-8374",
            "fax_number": "248-243-8966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 E WATTLES RD STE 101",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480855099",
            "telephone_number": "248-238-8374",
            "fax_number": "248-243-8966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMORMINO",
        "first_name": "RENEE",
        "middle_name": "LYNN",
        "credential": "RRT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2279G1100X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, General Care",
            "state": "MI",
            "license": "4401003633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "MATHEWS",
            "middle_name": "LYNN",
            "credential": "RRT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.