Individual provider Active NPI

Renee Lenceski, DPT

  • Physical Therapist
  • Old Forge, PA
National Provider Identifier
1700893401
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT016563 Issued in PA
Practice address
501 S Main St
Old Forge, PA 18518
Phone
(570) 457-4099
Fax
(570) 457-7205
NPI assigned
Aug 2, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

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 PT016563 PA Primary

Addresses

Primary practice location

501 S Main St
Old Forge, PA 18518

Mailing address

101 Micheline Dr
Old Forge, PA 18518-2359
Phone (570) 457-0884

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060307000020 PA Practitioner - Physical Therapist in Private Practice 8921014598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

501 S Main St
Old Forge, PA 18518-1541
Phone (570) 457-4099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT016563PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Associates of Northeast Pennsylvania Inc Physical Therapist CurrentSince Dec 16, 2005 Accepting new patients

Locations

1 Highlands Blvd
Ste 108
Archbald, PA 18403
Phone (570) 383-8841

501 Hamlin Hwy
Hamlin, PA 18427
Phone (570) 689-7786

501 S Main St
Old Forge, PA 18518
Phone (570) 457-4099

Organizations & group practices 1

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700893401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MICHELINE DR",
            "city": "OLD FORGE",
            "state": "PA",
            "postal_code": "185182359",
            "telephone_number": "570-457-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S MAIN ST",
            "city": "OLD FORGE",
            "state": "PA",
            "postal_code": "18518",
            "telephone_number": "570-457-4099",
            "fax_number": "570-457-7205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENCESKI",
        "first_name": "RENEE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT016563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Forge, PA

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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.