RENAISSANCE PHYSICAL THERAPY LLC (NPI# 1396770400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396770400 |
| Entity Type | Organization |
| Organization Name | RENAISSANCE PHYSICAL THERAPY LLC |
| Practice Address |
30200 Schoenherr Warren MI 48093 |
| Mailing Address |
30020 Schoenherr Warren MI 48093 |
| Practice Telephone | 5867755267 |
| Practice Fax Number | 5867752331 |
| Mailing Telephone | 5867755267 |
| Mailing Fax Number | 5867752331 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RAHAT MALIK (ADMINISTRATOR) |
| Authorized Official Telephone | 5867755267 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4792395 | 05 | |
| MI | BCBS | 71010000030669 | 01 |
| Street Address |
30200 SCHOENHERR |
| City | WARREN |
| State | MI |
| Zip Code | 48093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615986 | Toleka Regina Taylor | Nurse Anesthetist, Certified Registered | St. John Macomb Hospital, 11800 East 12 Mile Road, Warren, MI 48093 | 2020-10-05 |
| 1679112676 | Open Heart Communities | Case Management | 31310 Shaw Dr, Warren, MI 48093 | 2019-12-23 |
| 1538715636 | 3 Dove Medical Supplies | Durable Medical Equipment & Medical Supplies | 31201 Chicago Rd S Ste C101, Warren, MI 48093 | 2019-08-14 |
| 1568954600 | Schreiber Cardiology, P.C. | Internal Medicine | 8545 Common Rd Ste 150, Warren, MI 48093 | 2018-06-05 |
| 1730686197 | Lambro Seremetis | Social Worker | 12200 E. 12 Mile Road, Ste. 200, Warren, MI 48093 | 2018-04-11 |
| 1649775826 | Ridge Downs | Behavioral Analyst | 31201 Chicago Rd South, Suite C- 202, Warren, MI 48093 | 2018-03-28 |
| 1144722737 | Jessica Farraj | Occupational Therapist | 11800 E. 12 Mile Road, Warren, MI 48093 | 2018-02-28 |
| 1265930168 | Leah Hanrahan | Registered Nurse | 11700 Amberle Dr., Warren, MI 48093 | 2018-01-25 |
| 1598271553 | Pamela Marie Confer | Occupational Therapist | 11012 13 Mile Rd, Suite 200, Warren, MI 48093 | 2017-12-28 |
| 1831604347 | Kate Jeanne Szczepanski | Behavior Technician | 31200 Chicago Rd S, Warren, MI 48093 | 2017-12-06 |
| Find all providers in zip 48093 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902305048 | Nrmi, LLC | Clinic/Center | 14461 E 11 Mile Rd, Warren, MI 48088-4886 | 2018-02-05 |
| 1992793442 | Trishard P.C. | Clinic/Center | 2117 E 11 Mile Rd, Warren, MI 48092-3553 | 2005-10-10 |
| 1427550482 | Hoover Physical Therapy LLC | Clinic/Center | 28671 Hoover Rd, Warren, MI 48093 | 2018-03-06 |
| 1942733019 | Athena Therapy Holding Co | Clinic/Center | 260 Niles Cortland Rd Ne, Warren, OH 44484-1938 | 2017-04-06 |
| 1003114273 | Precision Physical Therapy, LLC | Clinic/Center | 8323 E Market St, Warren, OH 44484-2342 | 2011-03-11 |
| 1750619409 | Physical Cognitive Network, Inc. | Clinic/Center | 28550 Schoenherr Rd, Warren, MI 48088-4329 | 2009-11-18 |
| 1861618696 | Rehabilitation Centers of Michigan | Clinic/Center | 28550 Schoenherr Rd, Warren, MI 48088-4329 | 2007-04-18 |
| 1689604084 | Smr Banyan Tree, Inc. | Clinic/Center | 140 Highland Terrace Blvd, Suite B, Warren, OH 44484-3074 | 2006-07-03 |
| 1477502680 | Johnson Physical Therapy Inc | Clinic/Center | 2614 E Market St, Warren, OH 44483-6204 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285257287 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 5858 S 47 Rd, Cadillac, MI 49601-9508 | 2020-05-26 |
| 1538790241 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 2325 Rockwell Dr, Midland, MI 48642-9325 | 2020-01-31 |
| 1386295210 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 641 W 9 Mile Rd Ste D, Ferndale, MI 48220-1779 | 2019-09-23 |
| 1013566199 | J.l Hunt Therapeutics | Clinic/Center | 43700 Woodward Ave Ste 108, Bloomfield Hills, MI 48302-5060 | 2019-09-10 |
| 1548828502 | Chsc Inc | Clinic/Center | 10125 W 8 Mile Rd, Detroit, MI 48221-1004 | 2019-06-04 |
| 1427521723 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 3951 W Milham Ave, Portage, MI 49024-1088 | 2019-01-09 |
| 1366934184 | Rehabcare Group East, LLC | Clinic/Center | 1300 N Telegraph Rd, Dearborn, MI 48128-1204 | 2018-06-06 |
| 1194230888 | Blue Water Speech Therapy | Clinic/Center | 7950 Caberfae Trl, Clarkston, MI 48348-3707 | 2017-12-05 |
| 1093236291 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 1620 S Mission St Ste O, Mt Pleasant, MI 48858-4466 | 2017-06-28 |
| 1164952388 | A Plus Rehab LLC | Clinic/Center | 24315 Northwestern Hwy Ste 101, Southfield, MI 48075-6815 | 2017-06-20 |
| Find all providers with the same taxonomy | ||||
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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.