Individual provider Active NPI

Renel Shay Norman, PT

  • Physical Therapist
  • Murray, KY
National Provider Identifier
1912156308
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2870 Issued in KY
Practice address
308 N 12TH St
Murray, KY 42071-1916
Phone
(270) 759-9500
NPI assigned
Sep 10, 2008
Last updated
Sep 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2870 KY Primary

Addresses

Primary practice location

308 N 12TH St
Murray, KY 42071-1916

Mailing address

PO Box 932184
Atlanta, GA 31193-2184

Other practice location 1

100 Kiana Ct Apt A
Paducah, KY 42001-6767
Phone (270) 443-0681

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241217001318 KY Practitioner - Physical Therapist in Private Practice 6305373226 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Kentucky College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlas Physical Therapy LLCGroup PAC ID 0941523245, 7 clinicians

Practice addresses (Care Compare)

244 US Hwy 88 E
Benton, KY 42025-7568
Phone (270) 527-4322

649 Meyers Baker Rd
Suite 102
London, KY 40741-3006
Phone (606) 864-7316

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2870KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Atlas Physical Therapy LLC CurrentSince Aug 24, 2024 Accepting new patients
H2 Rehabilitation Services of Kentucky, LLC CurrentSince May 1, 2025 Accepting new patients
H2 Rehabilitation Services of Kentucky LLC CurrentSince May 1, 2025 Accepting new patients
H2 Rehabilitation Services of Kentucky, LLC Current Accepting new patients

Locations

649 Meyers Baker Rd
Ste 102
London, KY 40741
Phone (606) 864-7316

308 N 12th St
Murray, KY 42071
Phone (270) 759-9500

100 Kiana Ct
Apt A
Paducah, KY 42001
Phone (270) 408-2123

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1912156308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932184",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311932184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 N 12TH ST",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420711916",
            "telephone_number": "270-759-9500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Kiana Ct Apt A",
            "address_purpose": "LOCATION",
            "city": "Paducah",
            "state": "KY",
            "postal_code": "420016767",
            "country_code": "US",
            "telephone_number": "270-443-0681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORMAN",
        "first_name": "RENEL",
        "middle_name": "SHAY",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-10",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "2870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.