Active NPI
Renew Physical Therapy LLC
- Physical Therapy Clinic/Center
- Mooresville, NC
National Provider Identifier
1740077031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- RENEW PHYSICAL THERAPY LLC
- Practice address
- 1010 N Main St
Mooresville, NC 28115-2358 - Phone
- (704) 397-4454
- NPI assigned
- Apr 22, 2025
- Last updated
- Apr 22, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Eric Powell, DPT
- Title
- Owner
- Phone
- (443) 569-1559
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
1010 N Main St
Mooresville, NC 28115-2358
Mailing address
171 Heywatchis Dr
Mooresville, NC 28115-6997
National Provider Directory
National Provider DirectoryLocations
1010 N Main St
Mooresville, NC 28115
Phone (704) 397-4454
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.
-
- Physical Therapist
- Leitchfield, KY
- NPI 1518332691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745280000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745280000000",
"number": "1740077031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 HEYWATCHIS DR",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281156997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 N MAIN ST",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281152358",
"telephone_number": "704-397-4454"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENEW PHYSICAL THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-22",
"last_updated": "2025-04-22",
"certification_date": "2025-04-22",
"status": "A",
"authorized_official_last_name": "POWELL",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "443-569-1559",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.