Individual provider Active NPI

Renee Nicole Linder, PT, DPT

  • Physical Therapist
  • Ashland, OH
National Provider Identifier
1730969445
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT018075 Issued in OH
Practice address
622 Center St
Ashland, OH 44805-3343
Phone
(419) 289-3523
NPI assigned
Oct 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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 PT018075 OH Primary

Addresses

Primary practice location

622 Center St
Ashland, OH 44805-3343

Mailing address

610 Heltman Ave
Ashland, OH 44805-3329

Other practice location 1

3308 Brecksville Rd
Richfield, OH 44286-9686
Phone (234) 400-0555

Other practice location 2

1050 Dauch Dr
Ashland, OH 44805-8800
Phone (419) 289-4700

Other names 1

  • Renee Nicole Bellis Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT018075OHMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1730969445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 HELTMAN AVE",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448053329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 CENTER ST",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448053343",
            "telephone_number": "419-289-3523"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3308 Brecksville Rd",
            "address_purpose": "LOCATION",
            "city": "Richfield",
            "state": "OH",
            "postal_code": "442869686",
            "country_code": "US",
            "telephone_number": "234-400-0555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1050 Dauch Dr",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "OH",
            "postal_code": "448058800",
            "country_code": "US",
            "telephone_number": "419-289-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINDER",
        "first_name": "RENEE",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT018075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "BELLIS",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ashland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.