Active NPI
Renee H Stendel, P.T.
- Physical Therapist
- Providence, RI
National Provider Identifier
1659870475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT03067
- Practice address
- 193 Elmwood Ave
Providence, RI 02907-1460 - Phone
- (401) 459-4000
- NPI assigned
- Feb 7, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT03067 | RI | Primary |
Addresses
Primary practice location
193 Elmwood Ave
Providence, RI 02907-1460
Mailing address
PO Box 191359
Boston, MA 02119-0026
Phone (617) 442-3462
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT03067 | RI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riversedge Management PC | Current | Accepting new patients |
Locations
193 Elmwood Ave
Providence, RI 02907
Phone (401) 459-4000
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Somerset, MA
- NPI 1396977732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517961600000",
"number": "1659870475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 191359",
"city": "BOSTON",
"state": "MA",
"postal_code": "021190026",
"telephone_number": "617-442-3462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "193 ELMWOOD AVE",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029071460",
"telephone_number": "401-459-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STENDEL",
"first_name": "RENEE",
"middle_name": "H",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-07",
"last_updated": "2018-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "RI",
"license": "PT03067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.