Active NPI
Renewed Strength Therapy Center, LLC
- Rehabilitation Clinic/Center
- Erie, PA
National Provider Identifier
1871165019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
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, CFPS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Occupational Therapist
- Erie, PA
- NPI 1659605129
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.