Individual provider Active NPI

Karly Rae Renz

  • Physical Therapist
  • Fostoria, OH
National Provider Identifier
1942006978
Registry record updated Aug 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT021989 Issued in OH
Practice address
6425 County Road 330
Fostoria, OH 44830-9629
Phone
(419) 701-9576
NPI assigned
Feb 20, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X
Homemaker 376J00000X
Physical Therapist 225100000X PT021989 OH Primary

Addresses

Primary practice location

6425 County Road 330
Fostoria, OH 44830-9629

Mailing address

6425 County Road 330
Fostoria, OH 44830-9629
Phone (419) 701-9576

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250903000597 OH Practitioner - Physical Therapist in Private Practice 6901307651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3101 W US Hwy 224
Tiffin, OH 44883-8305
Phone (419) 448-0220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT021989OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Ohio Orthopedics and Sports Medicine, Inc CurrentSince Aug 25, 2025 Accepting new patients
Northwest Ohio Orthopedics and Sports Medicine, Inc Physical Therapist CurrentSince Aug 25, 2025 Accepting new patients

Locations

7595 County Road 236
Findlay, OH 45840
Phone (419) 427-3104

3101 W US Highway 224
Tiffin, OH 44883
Phone (419) 443-1429

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1740009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755993600000",
    "number": "1942006978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6425 COUNTY ROAD 330",
            "city": "FOSTORIA",
            "state": "OH",
            "postal_code": "448309629",
            "telephone_number": "419-701-9576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6425 COUNTY ROAD 330",
            "city": "FOSTORIA",
            "state": "OH",
            "postal_code": "448309629",
            "telephone_number": "419-701-9576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENZ",
        "first_name": "KARLY",
        "middle_name": "RAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-20",
        "last_updated": "2025-08-24",
        "certification_date": "2025-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT021989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fostoria, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2025; 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.