Organization Active NPI

Renewed Life Physical Therapy & Fitness

  • Physical Therapy Clinic/Center
  • Charlottesville, VA
National Provider Identifier
1871202606
Registry record updated Jan 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
RENEWED LIFE PHYSICAL THERAPY & FITNESS
Practice address
2120 Berkmar Dr
Charlottesville, VA 22901-1424
Phone
(434) 872-1850
NPI assigned
Nov 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2023

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

Authorized official

Name
Nicholas S LawNPI 1457798670
Title
Owner, Physical Therapist
Phone
(434) 872-1850

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

2120 Berkmar Dr
Charlottesville, VA 22901-1424

Mailing address

1800 Brenda CT
Charlottesville, VA 22901-2909
Phone (434) 872-1850

Other practice location 1

1800 Brenda Ct
Charlottesville, VA 22901-2909
Phone (434) 872-1850

National Provider Directory

National Provider Directory

Locations

2120 Berkmar Dr
Charlottesville, VA 22901
Phone (434) 872-1850

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673049600000",
    "number": "1871202606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 BRENDA CT",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229012909",
            "telephone_number": "434-872-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 BERKMAR DR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011424",
            "telephone_number": "434-872-1850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Brenda Ct",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229012909",
            "country_code": "US",
            "telephone_number": "434-872-1850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RENEWED LIFE PHYSICAL THERAPY & FITNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-21",
        "last_updated": "2023-01-07",
        "certification_date": "2023-01-07",
        "status": "A",
        "authorized_official_last_name": "LAW",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "434-872-1850"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2023; 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.