RENEW PHYSIOTHERAPY (NPI# 1558857490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558857490 |
| Entity Type | Organization |
| Organization Name | RENEW PHYSIOTHERAPY |
| Practice Address |
1924k Dauphin Island Pkwy Mobile AL 36605-3004 |
| Practice Telephone | 2516052482 |
| Mailing Telephone | 2516052482 |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2018-07-03 |
| Authorized Official Name | TARA JEWEL JONES (DOO) |
| Authorized Official Telephone | 2516052482 |
| 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 |
1924K DAUPHIN ISLAND PKWY |
| City | MOBILE |
| State | AL |
| Zip Code | 36605-3004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316993454 | Gerald Anthony Mastaw Jr. | Anesthesiology | 1924k Dauphin Island Pkwy, Mobile, AL 36605-3004 | 2006-05-26 |
| 1871146555 | Dynamic Pain & Wellness Pllc | Clinic/Center | 1924k Dauphin Island Pkwy, Mobile, AL 36605-3004 | 2019-07-22 |
| 1396397774 | Haley Stuart | Nurse Practitioner | 1924k Dauphin Island Pkwy, Mobile, AL 36605-3004 | 2019-07-15 |
| 1730200130 | Meeta Nicholas | Nurse Practitioner | 1924k Dauphin Island Pkwy, Mobile, AL 36605-3004 | 2007-04-03 |
| 1750398434 | Elizabeth G Mathison | Family Medicine | 1924k Dauphin Island Pkwy, Mobile, AL 36605-3004 | 2006-08-02 |
| 1669489340 | Texel Dewine Johnson | Family Medicine | 1924k Dauphin Island Pkwy, Mobile, AL 36605-3004 | 2006-08-02 |
| 1124041850 | Cary Scott Helton | Physical Therapist | 1924k Dauphin Island Pkwy, Mobile, AL 36605 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366842072 | Harriett D Coleman | Adult Companion | 1615 Chesire Dr. West, Mobile, AL 36605 | 2014-08-29 |
| 1316180979 | Maria Dorothea Snyman | Occupational Therapist | 954 Navco Rd., Crowne Healthcare of Mobile, Mobile, AL 36605 | 2009-04-13 |
| 1073722708 | Mobile Family Physicians PC | Nurse Practitioner | 1924-k Dauphin Island Parkway, Mobile, AL 36605 | 2007-05-21 |
| 1558489492 | Robert L. Mendel | Dentist | 1924-d Dauphin Island Parkway, Mobile, AL 36605 | 2007-03-27 |
| 1255315198 | Linda Kristene Davenport | Family Medicine | 2601 Dauphin Island Parkway, Mobile, AL 36605 | 2005-12-05 |
| 1922241488 | Jaures M Negre | Physical Therapist | 954 Navco Rd., Crowne of Mobile, Mobile, AL 36605 | 2009-04-14 |
| 1033466081 | Senior Homecare Concierge Services | In Home Supportive Care | 1310 N Cloverleaf Cir, Mobile, AL 36605-1625 | 2012-08-09 |
| 1619446663 | Heather Leigh Mcdermottjohnson | Social Worker | 1630 S Broad St, Mobile, AL 36605-1806 | 2018-11-20 |
| 1275078693 | Xtra Touch Homecare | Home Health Aide | 1257 E Linwood Dr, Mobile, AL 36605-2263 | 2016-12-20 |
| 1194183129 | Bryant Center Technical Center | Custodial Care Facility | 2003 N Gimon Cir, Mobile, AL 36605-2348 | 2016-02-04 |
| Find all providers in zip 36605 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497304323 | Encore Rehabilitation, Inc | Clinic/Center | 1059 Snow Road, Unit B, Mobile, AL 36695-3669 | 2019-09-04 |
| 1639552987 | Agilias Usa, Inc | Clinic/Center | 2344 Schillinger Rd S # 1-b, Mobile, AL 36695-4177 | 2015-07-06 |
| 1538558804 | Agilitas Usa, Inc | Clinic/Center | 3654 Airport Blvd Ste H, Mobile, AL 36608-1616 | 2015-01-09 |
| 1972907194 | Shauna Crenshaw | Clinic/Center | 3301 Knollwood Dr Bldg 4, Mobile, AL 36693-7003 | 2014-10-17 |
| 1932354735 | Port City Physical Therapy | Clinic/Center | 1242 Anchor Dr, Mobile, AL 36693-4500 | 2008-11-20 |
| 1750417002 | Encore Rehabilitation Inc | Clinic/Center | 5735 College Pkwy, Encore Rehab At Booth Bldg, Mobile, AL 36613-2842 | 2007-02-23 |
| 1922619733 | Advancing Health Physical Therapy Inc | Clinic/Center | 7921 Tanner Williams Rd Ste J, Mobile, AL 36608-8303 | 2020-08-14 |
| 1760959613 | University of South Alabama | Clinic/Center | 1610 Center St Ste B, Mobile, AL 36604-1512 | 2018-10-30 |
| 1366846883 | Encore Rehabilitation, Inc. | Clinic/Center | 3301 Knollwood Dr, Bldg 4, Mobile, AL 36693-7003 | 2014-10-13 |
| 1013325091 | Encore Rehabilitation, Inc. | Clinic/Center | 3280 Dauphin St, Suite A103, Mobile, AL 36606-4060 | 2014-07-23 |
| Find all providers in MOBILE | ||||
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| 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.