Renee Amanda Hancock, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

7985 Issued in MN

Practice address

1000 School St NW Ste 109
Elk River, MN 55330-1337

Phone

(763) 400-7438

Fax

(866) 881-6769

NPI assigned

Feb 10, 2010

Last updated

Oct 28, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ibackcheck Physical Therapy, PLLCGroup PAC ID 2769602127, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Ibackcheck Physical Therapy, PLLC

  dba iBackCheck Sport Therapy

  • Physical Therapist
  • Elk River, MN
  • NPI 1053753095
  Medicare reassignment Care Compare group NPD
• Aegis Group Practice LLC

  • Physical Therapist
  • Becker, MN
  • NPI 1447773957
  NPD
• Aegis Group Practice LLC

  • Physical Therapist
  • Fort Smith, AR
  • NPI 1417340126
  NPD
• Aegis Group Practice LLC

  • Physical Therapist
  • Indian Harbour Beach, FL
  • NPI 1932072030
  NPD
• Physical Therapy Consultants, Inc.

  dba Ham Lake Physical Therapy

  • Physical Therapy Clinic/Center
  • Ham Lake, MN
  • NPI 1366460719
  NPD (past)

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

{
    "created_epoch": "1265760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1780916114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19021 DODGE ST NW",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553302870",
            "telephone_number": "763-442-4715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SCHOOL ST NW STE 109",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553301337",
            "telephone_number": "763-400-7438",
            "fax_number": "866-881-6769"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 Garfield St S",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MN",
            "postal_code": "550081772",
            "country_code": "US",
            "telephone_number": "763-442-4715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANCOCK",
        "first_name": "RENEE",
        "middle_name": "AMANDA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-10",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "7985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc H Haaland, LPC
• Rebecca Haas
• Karrie Deanne Halbur, MA, LMFT
• Sarah Hamlin, LICSW
• Katie Lyn Hammond
• Elizabeth Marie Hanks
• Elizabeth Hanson
• Melissa Jean Hanson
• Hardy & Stephens Counseling Associates PLLC (The Center for Hope and Healing)
• Katherine Lynn Hardy-Roth, LPCC

• Physical Therapist in Elk River, MN
• Providers in Elk River, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.