Organization Active NPI

Renewed Strength Therapy Center, LLC

  • Rehabilitation Clinic/Center
  • Erie, PA
National Provider Identifier
1871165019
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
RENEWED STRENGTH THERAPY CENTER, LLC
Practice address
3302 West Lake Road
Apartment #126
Erie, PA 16505-3677
Phone
(847) 644-1280
Fax
(847) 440-9000
NPI assigned
Jul 16, 2021
Last updated
Aug 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Authorized official

Name
Mr. Mark Howard Cable, MS, OTR/L, CFPSNPI 1659605129
Title
OT/Rehabilitation Director
Phone
(847) 644-1280

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X
Rehabilitation Clinic/Center 261QR0400X Primary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X
Occupational Medicine Clinic/Center 261QX0100X
Assisted Living Facility 310400000X

Addresses

Primary practice location

3302 West Lake Road
Apartment #126
Erie, PA 16505-3677

Mailing address

3302 West Lake Road
Apartment #126
Erie, PA 16505-4339
Phone (847) 644-1280

National Provider Directory

National Provider Directory

Locations

1625 Lowell Ave
Erie, PA 16505
Phone (814) 833-6805

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.

NPI Registry JSON

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

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629849600000",
    "number": "1871165019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3302 WEST LAKE ROAD",
            "address_2": "APARTMENT #126",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054339",
            "telephone_number": "847-644-1280",
            "fax_number": "847-440-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3302 WEST LAKE ROAD",
            "address_2": "APARTMENT #126",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165053677",
            "telephone_number": "847-644-1280",
            "fax_number": "847-440-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED STRENGTH THERAPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-16",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A",
        "authorized_official_last_name": "CABLE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "OT/REHABILITATION DIRECTOR",
        "authorized_official_telephone_number": "847-644-1280",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, OTR/L, CFPS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.