Renew Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

RENEW PHYSICAL THERAPY

Practice address

625 Snelling Ave S
Saint Paul, MN 55116-1529

Phone

(651) 699-4169

Fax

(651) 493-7446

NPI assigned

Jan 8, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Pappenfus Cloutier

Title

Owner

Phone

(651) 699-4169

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Practitioners 1

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

• Kelly Sue Stokes, PT

  • Physical Therapist
  • Rosemount, MN
  • NPI 1497868095
  Medicare reassignment NPD

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

{
    "created_epoch": "1357603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357603200000",
    "number": "1639416860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 SNELLING AVE S",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551161529",
            "telephone_number": "651-699-4169",
            "fax_number": "651-493-7446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 SNELLING AVE S",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551161529",
            "telephone_number": "651-699-4169",
            "fax_number": "651-493-7446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-08",
        "last_updated": "2013-01-08",
        "status": "A",
        "authorized_official_last_name": "CLOUTIER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "PAPPENFUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-699-4169",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Rall Remme
• Remmys Tender Care LLC
• Vanessa Rachelle Rempel, PHD, LP
• Zhuoling Ren, L.AC.
• Rebecca Anne Rendall, CPHT
• Allison Laura Renneke, PSYD, LP
• Kathryn Elise Renner
• Jaime Rennich
• Salina Renninger, L.P.
• Vincent Alexander Renta IV, MD

• Physical Therapy Clinic/Center in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Physical Therapy Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.