Organization Active NPI

Renu Prosthetics LLC

  • Prosthetics Case Management
  • Little Rock, AR
National Provider Identifier
1699622530
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
Legal business name
RENU PROSTHETICS LLC
Practice address
3818 W 19TH St
Little Rock, AR 72204-3914
Phone
(501) 404-8451
NPI assigned
Mar 11, 2026
Last updated
Mar 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Authorized official

Name
Ms. Brittany Shontay MaxwellNPI 1134920994
Title
Owner
Phone
(501) 291-6002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case ManagementGroup: 193400000X SINGLE SPECIALTY GROUP 1744P3200X Primary
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

3818 W 19TH St
Little Rock, AR 72204-3914

Mailing address

3818 W 19TH St
Little Rock, AR 72204-3914
Phone (501) 404-8451

National Provider Directory

National Provider Directory

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": "1773187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773187200000",
    "number": "1699622530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3818 W 19TH ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722043914",
            "telephone_number": "501-404-8451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3818 W 19TH ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722043914",
            "telephone_number": "501-404-8451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENU PROSTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-11",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A",
        "authorized_official_last_name": "MAXWELL",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_middle_name": "SHONTAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-291-6002",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; 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.