Kevin Reneau, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

779 Issued in TN

Practice address

803 N Thompson LN
Suite a-103
Murfreesboro, TN 37129-4329

Phone

(615) 890-7610

Fax

(615) 890-9352

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Select Physical Therapy Holdings Inc

  • Rehabilitation Clinic/Center
  • Smyrna, TN
  • NPI 1619939766

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962512434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 WILTSHIRE DR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371291083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 N THOMPSON LN",
            "address_2": "SUITE A-103",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371294329",
            "telephone_number": "615-890-7610",
            "fax_number": "615-890-9352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENEAU",
        "first_name": "KEVIN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "779",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Regalado
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• Tiffinea Michelle Reid-Johnson, LCSW
• Nicole Reinard
• Misty Reinecke, LCSW
• Chelsea Elaine Phillips Renfro, PHARMD
• Elinore Cecelia Reno
• Renovia Healthcare LLC
• Resolve Counseling Group LLC
• Restorative Health Services, Inc

• Physical Therapist in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.