Renewal Rehab LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

RENEWAL REHAB LLC

Practice address

1200 Kitty Hawk
Peru, IN 46970-3725

Phone

(765) 689-7305

NPI assigned

Jul 27, 2021

Organization subpart

No

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

Authorized official

Name

Eliezer Meystel

Title

Ceo

Phone

(847) 983-8750

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rocelon Guerra, PT

  • Physical Therapist
  • Naperville, IL
  • NPI 1154746204
  NPD

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628467200000",
    "number": "1841963741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7358 N LINCOLN AVE STE 160",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121797",
            "telephone_number": "847-983-8750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 KITTY HAWK",
            "city": "PERU",
            "state": "IN",
            "postal_code": "469703725",
            "telephone_number": "765-689-7305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWAL REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-27",
        "last_updated": "2021-08-09",
        "certification_date": "2021-07-27",
        "status": "A",
        "authorized_official_last_name": "MEYSTEL",
        "authorized_official_first_name": "ELIEZER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-983-8750"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Ragland
• Michelle Lin Reeve, LCSW
• Reibly Chiropractic Inc
• Jon E. Reibly, D.C.
• Rem Indiana
• Restore Your Heart Counseling & Wellness , LLC
• Brandi Richards
• Melody Miller Richardson, DDS
• Erin E Riggle, D.C.
• Brianna Rogers

• Physical Therapist in Peru, IN
• Providers in Peru, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; 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.