Renaissance International Corp.

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

RENAISSANCE INTERNATIONAL CORP.

Practice address

10 Prince PL Ste 112
Newburyport, MA 01950-2641

Phone

(978) 465-5111

Fax

(206) 202-3534

NPI assigned

Nov 8, 2021

Organization subpart

No

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

Authorized official

Name

E Robert Keller II, BCTMB

Title

President

Phone

(978) 465-5111

Specialties & licenses 2

Addresses

Other names 2

• Keller Therapeutics Doing business as
• Seacoast Medical Massage Doing business as

Electronic endpoints 1

Locations

Practitioners 1

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

• Robert Keller

  • Massage Therapist
  • Newburyport, MA
  • NPI 1598184061
  NPD

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636329600000",
    "number": "1639834377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 HIGH ST",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503824",
            "telephone_number": "978-465-5111",
            "fax_number": "206-202-3534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PRINCE PL STE 112",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019502641",
            "telephone_number": "978-465-5111",
            "fax_number": "206-202-3534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE INTERNATIONAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-08",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "E",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-465-5111",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "BCTMB"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bob@seacoastmedicalmassage.com",
            "affiliation": "N",
            "address_1": "10 Prince Pl Ste 112",
            "city": "Newburyport",
            "state": "MA",
            "country_code": "US",
            "postal_code": "019502641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Keller Therapeutics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Seacoast Medical Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maria Ratchkova, M.D.
• Teresa Reardon-Pollini
• David P Reczek, DDS
• Lee Daniel Reeves-Blurton, CRNA
• Anna Reilly, LICSW
• Allison Rhodes, MD, MPH
• Richard R Riccardi, M.D.
• Dan H Rich, MD
• Michelle Rigordaeva
• Thomas M Riley, MD

• Massage Therapist in Newburyport, MA
• Providers in Newburyport, MA by specialty
• Massage Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.