Renovare Physical Therapy and Wellness

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

RENOVARE PHYSICAL THERAPY AND WELLNESS

Practice address

111 E Vance St Ste a
Fuquay Varina, NC 27526-2264

Phone

(984) 344-7506

Fax

(984) 201-0215

NPI assigned

Nov 10, 2022

Organization subpart

No

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

Authorized official

Name

Colleen Greene, PT, DPT

Title

Owner

Phone

(984) 344-7506

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1649988403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5212 GABLE RIDGE LN",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275409306",
            "telephone_number": "984-344-7506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E VANCE ST STE A",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262264",
            "telephone_number": "984-344-7506",
            "fax_number": "984-201-0215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENOVARE PHYSICAL THERAPY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-10",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "984-344-7506",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "colleen@renovareptandwellness.com",
            "affiliation": "N",
            "endpointDescription": "direct email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "none",
            "address_1": "111 E Vance St Ste A",
            "city": "Fuquay Varina",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275262264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Reframing Language LLC
• Lynnette Lister Regan
• Reid's Holding Corporation
• Robert Anthony Reinhardt, M.ED., NCC, LPC
• Jessica Elizabeth Renken, OTD
• Elizabeth Rentschler, PA-C
• Teresa Anne Renze
• Respisleep
• Rex Hospital Inc (UNC Urgent Care at Fuquay Varina)
• Curtis Richardson-Booker

• Physical Therapy Clinic/Center in Fuquay Varina, NC
• Providers in Fuquay Varina, NC by specialty
• Physical Therapy Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; 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.