Renew Physical Therapy, Inc

LBN: Renew Physical Therapy, Inc
Renew Physical Therapy, Inc is an health care organization with primary practice located at 2701 Larsen Rd Suite 111, Green Bay WI 54303-4863. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Renew Physical Therapy, Inc can be contacted via phone (920) 883-2284, or through Jackson, Shawn E via phone (920) 833-2284.

Contact Information

Primary practice address
2701 Larsen Rd Suite 111 Green Bay WI 54303-4863
Phone: (920) 883-2284
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Shawn E DPT
Phone: (920) 833-2284

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X

Profile Details

NPI number 1639410434
LBN Legal business name Renew Physical Therapy, Inc
DBA Doing business as
Authorized official Jackson, Shawn E DPT
Entity Organization
Organization subpart 1 No
Enumeration date Mar 5th, 2013
Last updated Mar 22nd, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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