NPIMap

Organization Active NPI

Renewal Therapeutics LLC

  • Physical Therapist
  • Moncks Corner, SC
National Provider Identifier
1871228445
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
RENEWAL THERAPEUTICS LLC
Doing business as
Renewal Therapeutics LLC
Practice address
3516 S Live Oak Dr Unit a
Moncks Corner, SC 29461-8762
Phone
(843) 412-4486
Fax
(843) 482-0361
NPI assigned
Jul 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Authorized official

Name
Dr. Elizabeth Geiger Harvey, PT, DPT, MSR, DHSCNPI 1245418532
Title
Owner
Phone
(184) 341-2448

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

3516 S Live Oak Dr Unit a
Moncks Corner, SC 29461-8762

Mailing address

3516 A South Live Oak Drive
Moncks Corner, SC 29461
Phone (843) 412-4486

Other names 1

  • Renewal Therapeutics LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240927001048 SC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0749711091 Receives reassigned benefits from 3 practitioners
Practice locations: Moncks Corner, SC

National Provider Directory

National Provider Directory

Locations

3516 S Live Oak Dr
Unit A
Moncks Corner, SC 29461
Phone (843) 899-1411

Practitioners & affiliated clinicians

Practitioners 3

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": "1658188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658188800000",
    "number": "1871228445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3516 A SOUTH LIVE OAK DRIVE",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "29461",
            "telephone_number": "843-412-4486",
            "fax_number": "843-482-0361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3516 S LIVE OAK DR UNIT A",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294618762",
            "telephone_number": "843-412-4486",
            "fax_number": "843-482-0361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWAL THERAPEUTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "GEIGER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "184-341-2448",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, MSR, DHSC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renewal Therapeutics LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moncks Corner, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.