RENEWAL PHYSICAL THERAPY – NPI #1215395629
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.

RENEWAL PHYSICAL THERAPY is an AHC clinic located in PORTLAND, OR. NPPES has assigned the NPI number 1215395629 to RENEWAL PHYSICAL THERAPY on February 01, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “RENEWAL PHYSICAL THERAPY” is a dba name, the actual legal business name for this organization is STAR OF RENEWAL LLC. The primary taxonomy selected by this provider is 261QP2000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Physical Therapy

The NPI profile was previously updated about 3 years ago on Mar 10, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RENEWAL PHYSICAL THERAPY below.

NPI Profile for
STAR OF RENEWAL LLC

NPI Number
1215395629
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
STAR OF RENEWAL LLC
Doing Business As (dba): RENEWAL PHYSICAL THERAPY
Primary location
2925 SE DIVISION ST
#102
PORTLAND, OR 97202
Phone: (503) 893-8824 Fax:
Mailing address
3095 HWY 101 N
STE 11-142
GEARHART, OR 97138
Phone: (808) 346-8808 Fax:
Organization Subpart
No
Authorized Official
LISA FRIEDMAN
OWNER MEMBER
Phone: (808) 346-8808
Updated
Certification Date
Mar 10, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2000X
- Clinic/Center / Physical Therapy (Primary)
HI 3604

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.