Individual provider Active NPI

Barney Joseph Renton III, P.T.

  • Physical Therapist
  • Houston, TX
National Provider Identifier
1790944361
Registry record updated Sep 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1055648 Issued in TX
Practice address
5822 Dryad Dr
Houston, TX 77035-4209
Phone
(713) 857-7045
Fax
(713) 723-0771
NPI assigned
Jun 8, 2008
Last updated
Sep 26, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2008

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 1055648 TX Primary

Addresses

Primary practice location

5822 Dryad Dr
Houston, TX 77035-4209

Mailing address

5822 Dryad Dr
Houston, TX 77035-4209
Phone (713) 857-7045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120213000546 FL Practitioner - Physical Therapist in Private Practice 9537235411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MD Diagnostic Specialist, IncGroup PAC ID 6204836463, 2 clinicians

Practice addresses (Care Compare)

668 N Orlando Ave
Suite 1010
Maitland, FL 32751-4460
Phone (407) 644-0101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1055648TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MD Diagnostic Specialist, Inc CurrentSince Nov 1, 2011 Accepting new patients
Home Rehabilitation Concepts Physical Therapist Past Accepting new patients

Locations

668 N Orlando Ave
Ste 1010
Maitland, FL 32751
Phone (407) 278-2424

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1212883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222387200000",
    "number": "1790944361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5822 DRYAD DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770354209",
            "telephone_number": "713-857-7045",
            "fax_number": "713-723-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5822 DRYAD DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770354209",
            "telephone_number": "713-857-7045",
            "fax_number": "713-723-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENTON",
        "first_name": "BARNEY",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-08",
        "last_updated": "2008-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1055648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; 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.