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Renew Pediatric Therapy LLC

Hearing and Speech Clinic/Center in Forest Lake, MN · enumerated 2026 · authorized official Ellen Van Tassel, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1043163926

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Registry record

Entity type Organization (Type 2)
Legal business name Renew Pediatric Therapy LLC
Practice address 21995 Finley Ct N, Forest Lake, MN, 55025
Fax (651) 243-0305
Enumeration date Feb 19, 2026
Last updated in NPPES Feb 19, 2026

Taxonomy & classification

261QH0700X Hearing and Speech Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Ellen Van Tassel
Title Owner

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Renew Pediatric Therapy LLC located?
The practice location on file with NPPES is in Forest Lake, MN.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2026-02-19. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-02-19.