NPIMap

Individual provider Active NPI

Renee Marie Halfhill

  • Physical Therapist
  • Canfield, OH
National Provider Identifier
1689896854
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
003649 Issued in OH
Practice address
510 W Main St
Suite B
Canfield, OH 44406-1454
Phone
(330) 702-0110
Fax
(330) 702-0510
NPI assigned
May 3, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 003649 OH Primary

Addresses

Primary practice location

510 W Main St
Suite B
Canfield, OH 44406-1454

Mailing address

3987 Fox Haven Dr
Canfield, OH 44406-9341
Phone (330) 540-7397

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

LicenseStateTypeSpecialty
003649OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
River Rock Rehabilitation, LLC Physical Therapist PastSince Jan 1, 2005 Accepting new patients
Water Works Aquatic Physical Therapy Inc PastSince Aug 11, 2014 Accepting new patients

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689896854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3987 FOX HAVEN DR",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444069341",
            "telephone_number": "330-540-7397",
            "fax_number": "330-793-1197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 W MAIN ST",
            "address_2": "SUITE B",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444061454",
            "telephone_number": "330-702-0110",
            "fax_number": "330-702-0510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALFHILL",
        "first_name": "RENEE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "003649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.