Individual provider Active NPI

James Rennell, PT

  • Physical Therapist
  • Colorado Springs, CO
National Provider Identifier
1780735522
Registry record updated Apr 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2812 Issued in CO
Practice address
5820 Flintridge Dr.
Legacy Rehabilitation
Colorado Springs, CO 80918-6901
Phone
(719) 599-7328
Fax
(719) 264-0227
NPI assigned
Jan 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2009

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 2812 CO Primary

Addresses

Primary practice location

5820 Flintridge Dr.
Legacy Rehabilitation
Colorado Springs, CO 80918-6901

Mailing address

5820 Flintridge Dr
Legacy Rehabilitaion
Colorado Springs, CO 80918-1883
Phone (719) 599-7328

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2812COMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Edge Rehabilitation & Wellness LLC Physical Therapist Past Accepting new patients
Rea Rehabilitation Services Inc Past Accepting new patients
Legacy Healthcare Services Inc Physical Therapist Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238630400000",
    "number": "1780735522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5820 FLINTRIDGE DR",
            "address_2": "LEGACY REHABILITAION",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809181883",
            "telephone_number": "719-599-7328",
            "fax_number": "719-264-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 FLINTRIDGE DR.",
            "address_2": "LEGACY REHABILITATION",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809186901",
            "telephone_number": "719-599-7328",
            "fax_number": "719-264-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENNELL",
        "first_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2009-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "2812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; 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.