RENEW PHYSICAL THERAPY PC – NPI #1255508453
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.

RENEW PHYSICAL THERAPY PC is an AHC clinic located in NOVATO, CA. NPPES has assigned the NPI number 1255508453 to RENEW PHYSICAL THERAPY PC on May 15, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI data, there are 5 additional location(s) assigned to this provider which are listed below. 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 6 years ago on Feb 08, 2020. 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 RENEW PHYSICAL THERAPY PC below.

NPI Profile for
RENEW PHYSICAL THERAPY PC

NPI Number
1255508453
Enumeration Date

(more than 18 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
RENEW PHYSICAL THERAPY PC
Primary location
1427 GRANT AVE
NOVATO, CA 94945
Phone: (415) 895-1705 Fax: (415) 707-6776
5 Other location(s):
591 Redwood Hwy Frontage Rd Ste 2235
Mill Valley, CA 94941-6028
Phone: (415) 381-8707
Fax: (415) 634-6033
1427 Grant Ave
Novato, CA 94945
Phone: (415) 895-1705
Fax: (415) 707-6776
460 Boulevard Way Ste 2D
Piedmont, CA 94610-1525
Phone: (510) 922-8872
9909 Mira Mesa Blvd Ste 260
San Diego, CA 92131-1064
Phone: (858) 385-9400
659 Commercial St Ste 101
San Francisco, CA 94111-2566
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
STEPHEN MONGIELLO
PHYSICAL THERAPIST/OWNER
Phone: (415) 381-8707
Updated
Certification Date
Feb 08, 2020

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)
CA 23976

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.