Teresa Marie Renner, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

LPT-32716 Issued in AZ

Practice address

3455 Canyon de Flores Ste B
Sierra Vista, AZ 85650-5380

Phone

(520) 803-9727

Fax

(520) 378-2683

NPI assigned

May 20, 2019

Last updated

Jan 12, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Max Motion Physical Therapy Limited Partnership

  • Physical Therapist
  • Sierra Vista, AZ
  • NPI 1417198227
  Medicare reassignment NPD

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1689231243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 CANYON DE FLORES STE B",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856505380",
            "telephone_number": "520-803-9727",
            "fax_number": "520-378-2683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 CANYON DE FLORES STE B",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856505380",
            "telephone_number": "520-803-9727",
            "fax_number": "520-378-2683"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8806 Cambridge Ave Apt 1013",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641385422",
            "country_code": "US",
            "telephone_number": "314-277-6436",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10000 W 75th St Ste 250",
            "address_purpose": "LOCATION",
            "city": "Merriam",
            "state": "KS",
            "postal_code": "662042218",
            "country_code": "US",
            "telephone_number": "888-913-1910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENNER",
        "first_name": "TERESA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-20",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-32716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Sierra Vista, AZ
• Providers in Sierra Vista, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.