Renuka Jain
NPI 1194924217ActiveIndividual· Physical Therapist· Ellicott City, MD
Physical Therapist with Revive Physical Therapy LLC, practicing in Ellicott City, Maryland. Medicare paid $21,136 for services to 76 patients in 2024.
Overview
| NPI | 1194924217 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jul 18, 2007 |
| Last updated in NPPES | Nov 21, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 22176 | MD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (MD) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 76 |
|---|---|
| Services billed | 983 across 11 procedure codes |
| Paid by Medicare | $21,136 |
Education and affiliations
| Graduation year | 2006 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Revive Physical Therapy LLCEllicott City, MD · 6 clinicians
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All 173 physical therapists in Ellicott City · All physical therapists in Maryland