Renewed Therapeutics LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

RENEWED THERAPEUTICS LLC

Practice address

960 E 53Rd St
Davenport, IA 52807-2613

Phone

(563) 219-7002

NPI assigned

Dec 5, 2025

Last updated

Dec 5, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jaclyn Marie Jacobi, OTNPI 1477975258

Title

Owner

Phone

(319) 540-5738

Specialties & licenses 1

Addresses

Locations

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.

• Jaclyn Jacobi, OTR/L

  • Occupational Therapist
  • Davenport, IA
  • NPI 1477975258
  NPD Authorized official

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

{
    "created_epoch": "1764892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764892800000",
    "number": "1710840871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 N 8TH ST",
            "city": "LE CLAIRE",
            "state": "IA",
            "postal_code": "527538606",
            "telephone_number": "319-540-5738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 E 53RD ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072613",
            "telephone_number": "563-219-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED THERAPEUTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-05",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A",
        "authorized_official_last_name": "JACOBI",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-540-5738",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Davenport, IA
• Providers in Davenport, IA by specialty
• Occupational Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; 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.