Renew Physical Therapy PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

RENEW PHYSICAL THERAPY PC

Practice address

1400A N Washington Ave # 7
Roswell, NM 88201-8267

Phone

(575) 214-2355

NPI assigned

May 25, 2023

Organization subpart

No

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

Authorized official

Name

Kim Parker-Guerrero, DPTNPI 1871290346

Title

Owner/Provider

Phone

(575) 214-2355

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 2

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

• Kim Parker-Guerrero, PT, DPT

  • Physical Therapist
  • Roswell, NM
  • NPI 1871290346
  Medicare reassignment NPD Authorized official
• Elva Burillo, LCSW

  • Clinical Social Worker
  • Roswell, NM
  • NPI 1568316453
  NPD (past)

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1952093031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8244",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882028244",
            "telephone_number": "575-214-2355",
            "fax_number": "575-286-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400A N WASHINGTON AVE # 7",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882018267",
            "telephone_number": "575-214-2355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-25",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A",
        "authorized_official_last_name": "PARKER-GUERRERO",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "575-214-2355",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "59509856",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Regional Imaging Enm LLC
• Reinecke Chiropractic LLC
• Reinecke Medical and Chiropractic Center
• Lisa Renee Reinecke-Hristov, CNP, DC
• Renew Health LLC
• Saige Renteria
• Araceli Reyes
• Neira Stephanie Reyes
• Reynaldo R. Martinez MD LLC
• Valerie Rhinehart

• Physical Therapy Clinic/Center in Roswell, NM
• Providers in Roswell, NM by specialty
• Physical Therapy Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.