RENEWED PHYSICAL THERAPY LLC (NPI# 1114443876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114443876 |
| Entity Type | Organization |
| Organization Name | RENEWED PHYSICAL THERAPY LLC |
| Practice Address |
17557 Claridge Oval W Boca Raton FL 33496-1336 |
| Mailing Address |
11950 Nw 6th St Plantation FL 33325-1800 |
| Practice Telephone | 9546096432 |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2018-03-13 |
| Authorized Official Name | RICHARD EVANS (PRESIDENT) |
| Authorized Official Telephone | 9544759734 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
17557 CLARIDGE OVAL W |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33496-1336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598808412 | Richard Evans | Physical Therapist | 17557 Claridge Oval W, Boca Raton, FL 33496-1336 | 2007-02-14 |
| 1629615679 | Paige Ardis | Physical Therapy Assistant | 17557 Claridge Oval W, Boca Raton, FL 33496-1336 | 2019-12-09 |
| 1093239147 | Recovercarept Inc | Clinic/Center | 17557 Claridge Oval W, Boca Raton, FL 33496-1336 | 2017-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275193708 | Georgia Management Group | Health Maintenance Organization | 9878 Clint Moore Rd Suite 206, Boca Raton, FL 33496 | 2019-06-17 |
| 1326505710 | Capital Ortho LLC | Durable Medical Equipment & Medical Supplies | 6599 Newport Lake Cir, Boca Raton, FL 33496 | 2019-02-21 |
| 1710409636 | Armando Rodriguez | Specialist/Technologist | 9975 Boca Gardens Trail, Unit C, Boca Raton, FL 33496 | 2017-07-12 |
| 1942721782 | Lang Thi Woodmansee | Optometrist | 17940 S Military Trl Ste 400, Boca Raton, FL 33496 | 2017-07-02 |
| 1710325006 | Home Care Assistance of South Florida, LLC | Home Health | 3050 Champion Blvd., Boca Raton, FL 33496 | 2013-06-07 |
| 1568704450 | Gary J Edman | Physician Assistant | 4705 N Federal Highway, Boca Raton, FL 33496 | 2013-03-19 |
| 1396065512 | Holiday Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 6651 N. Military Trail, Suite 100, Boca Raton, FL 33496 | 2010-06-10 |
| 1265765093 | Mark Alan Needle | Internal Medicine | 2231 Nw 58 St, Boca Raton, FL 33496 | 2009-09-11 |
| 1780834036 | Richard Allen Peshkin | General Practice | 5227-a Lake Catalina Dr. N, Boca Raton, FL 33496 | 2008-09-23 |
| 1073712071 | Ehsan Esmaeili | Surgery | 1905 Clint Moore Rd., Suite 105, Boca Raton, FL 33496 | 2007-07-11 |
| Find all providers in zip 33496 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942742 | Restore Pelvic Health & Rehab LLC | Clinic/Center | 301 E Yamato Rd Ste 1240, Boca Raton, FL 33431-4931 | 2020-11-03 |
| 1689220683 | Tony Cerra Physical Therapy, LLC | Clinic/Center | 1601 Clint Moore Rd Ste 211, Boca Raton, FL 33487-5716 | 2019-08-15 |
| 1225527237 | Pinnacle Movement and Performance | Clinic/Center | 990 S Rogers Cir Ste 7, Boca Raton, FL 33487-2836 | 2018-05-04 |
| 1336645746 | Occuaptional Health Centers of The Southwest, P.a. | Clinic/Center | 141 Nw 20th St # C6-c12, Boca Raton, FL 33431-7966 | 2018-04-04 |
| 1164937173 | Pelvicore Rehab | Clinic/Center | 7376 Wexford Ter, Boca Raton, FL 33433-4158 | 2017-12-13 |
| 1346787587 | Mpb Sports and Rehabilitation Inc | Clinic/Center | 3048 Nw 29th Ave, Boca Raton, FL 33434-6036 | 2017-01-26 |
| 1629695846 | Pac Pt LLC | Clinic/Center | 21839 High Pine Trl, Boca Raton, FL 33428-3049 | 2020-07-03 |
| 1518582816 | Neuro Physical Therapy & Sports Medicine LLC | Clinic/Center | 141 Nw 20th St Ste B3, Boca Raton, FL 33431-7961 | 2020-06-11 |
| 1093239147 | Recovercarept Inc | Clinic/Center | 17557 Claridge Oval W, Boca Raton, FL 33496-1336 | 2017-07-31 |
| 1659806768 | Lilo Physiotherapy Inc | Clinic/Center | 7601 N Federal Hwy Ste 220a, Boca Raton, FL 33487-1661 | 2017-04-26 |
| Find all providers in BOCA RATON | ||||
| City | BOCA RATON |
| Zip Code | 33496 |
Please comment or provide details below to improve the information on RENEWED PHYSICAL THERAPY LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.