Organization Active NPI

Renew Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Beckley, WV
National Provider Identifier
1679896831
Registry record updated Nov 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT 000323 Issued in WV
Legal business name
RENEW PHYSICAL THERAPY INC
Practice address
2233 S Kanawha St
Beckley, WV 25801-6719
Phone
(304) 255-9248
Fax
(304) 255-7595
NPI assigned
Mar 2, 2010
Last updated
Nov 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2010

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

Authorized official

Name
Mrs. Dee-Dee Daniel, DPTNPI 1285785451
Title
Physical Therapist
Phone
(304) 253-6686

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT 000323 WV Primary

Addresses

Primary practice location

2233 S Kanawha St
Beckley, WV 25801-6719

Mailing address

2233 S Kanawha St
P.O. Box 9006
Beckley, WV 25801-6719
Phone (304) 255-9248

National Provider Directory

National Provider Directory

Locations

2233 S Kanawha St
Beckley, WV 25801
Phone (304) 250-7611

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1267488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290470400000",
    "number": "1679896831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 S KANAWHA ST",
            "address_2": "P.O. BOX 9006",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258016719",
            "telephone_number": "304-255-9248",
            "fax_number": "304-255-7595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 S KANAWHA ST",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258016719",
            "telephone_number": "304-255-9248",
            "fax_number": "304-255-7595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-02",
        "last_updated": "2010-11-23",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "DEE-DEE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "304-253-6686",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WV",
            "license": "PT 000323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; 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.