Individual provider Active NPI

Nadine Holly Renfer

  • Physical Therapy Assistant
  • Nanticoke, PA
National Provider Identifier
1982997615
Registry record updated Jan 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
TEI002993 Issued in PA
Practice address
395 Middle Rd
Nanticoke, PA 18634-3898
Phone
(570) 735-2973
NPI assigned
May 27, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X TE008527 PA
Physical Therapy Assistant 225200000X TEI002993 PA Primary

Addresses

Primary practice location

395 Middle Rd
Nanticoke, PA 18634-3898

Mailing address

15 Summit St
Hunlock Creek, PA 18621-4404
Phone (570) 466-0674

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

LicenseStateTypeSpecialty
TE008527PAMDPhysical Therapy Assistant
TEI002993PAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1306454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1982997615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SUMMIT ST",
            "city": "HUNLOCK CREEK",
            "state": "PA",
            "postal_code": "186214404",
            "telephone_number": "570-466-0674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 MIDDLE RD",
            "city": "NANTICOKE",
            "state": "PA",
            "postal_code": "186343898",
            "telephone_number": "570-735-2973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENFER",
        "first_name": "NADINE",
        "middle_name": "HOLLY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-27",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE008527",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TEI002993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nanticoke, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.