Active NPI
Remanda Fenner, DPT
- Physical Therapist
- Dallas, TX
National Provider Identifier
1881165371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9413
- Practice address
- 1755 Wittington PL Ste 175
Dallas, TX 75234-1905 - Phone
- (817) 271-6447
- NPI assigned
- Dec 10, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 9413 | SC | Primary |
Addresses
Primary practice location
1755 Wittington PL Ste 175
Dallas, TX 75234-1905
Mailing address
2997 Yawnoc Dr
Conway, SC 29526-2508
Phone (843) 450-4602
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9413 | SC | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544400000000",
"number": "1881165371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2997 YAWNOC DR",
"city": "CONWAY",
"state": "SC",
"postal_code": "295262508",
"telephone_number": "843-450-4602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1755 WITTINGTON PL STE 175",
"city": "DALLAS",
"state": "TX",
"postal_code": "752341905",
"telephone_number": "817-271-6447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FENNER",
"first_name": "REMANDA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-10",
"last_updated": "2018-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "9413",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.