Ashley Renegar

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2147128 Issued in TX

Practice address

721 Dunaway LN
Azle, TX 76020-2605

Phone

(817) 444-2536

NPI assigned

Oct 31, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1635638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1679237101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 LANDING CREEK DR APT 1022",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761312429",
            "telephone_number": "254-717-7829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 DUNAWAY LN",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "760202605",
            "telephone_number": "817-444-2536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENEGAR",
        "first_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-31",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2147128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Qualls, RNFA
• Debbie Rangel, APRN, FNP-BC
• Brenda Lea Reed, FNP
• Kyle Larry Reeves, D.D.S.
• Thomas L Reid Jr., LPT
• David Wesley Rindfusz, MD
• Edwin Earl Robbins, PHARMD
• Kelsey Robers
• Tiara A Roberts, PH.D
• Kelvin Duane Robison, MD

• Physical Therapy Assistant in Azle, TX
• Providers in Azle, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.