Renew Physical Therapy PLLC
NPI 1699443119ActiveOrganization· Physical Therapist· Bentonville, AR
Physical Therapist in Bentonville, Arkansas, registered in NPPES in August 2021. The authorized official on file is Chelsea Waldkirch, DPT, Owner. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1699443119 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 31, 2021 |
| Last updated in NPPES | Aug 31, 2021 |
| Certified by provider | Aug 10, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Clinic/Center, Physical Therapy | 261QP2000X | — | — |
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 Part B Supplier - Physical/Occupational Therapy Group in Private Practice (AR) |
|---|
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