Renew Physical Therapy PC
Renew Physical Therapy PC is a healthcare organization registered as Physical Therapy Clinic/Center in Novato, CA, holding Type 2 (organization) NPI 1255508453 since 2008. The authorized official on file is Stephen Mongiello, Physical Therapist/Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1255508453 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Renew Physical Therapy PC |
| Practice address | 1427 GRANT AVE, Novato, CA, 94945 |
| Phone | 4158951705 |
| Fax | 4157076776 |
| Enumeration date | 2008-05-15 |
| Last updated in NPPES | 2020-02-08 |
Authorized official
| Name | Stephen Mongiello |
|---|---|
| Title | Physical Therapist/Owner |
| Phone | 4153818707 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QP2000X | Physical Therapy Clinic/Center | Primary | 23976 | CA |
Copy-ready billing details
Provider: Renew Physical Therapy PC NPI: 1255508453 Taxonomy: 261QP2000X (Physical Therapy Clinic/Center) Address: 1427 GRANT AVE, Novato, CA, 94945
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1669119962 | Chelsea Martin | Individual | Physical Therapist | Novato, CA |
| 1932965340 | Tor Olson | Individual | Physical Therapist | Novato, CA |
| 1598634180 | Ashley Lum | Individual | Physical Therapist | Novato, CA |
Verify this record
Cross-check NPI 1255508453 against the authoritative CMS record: view Renew Physical Therapy PC on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Renew Physical Therapy PC?
What is the NPI number for Renew Physical Therapy PC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-02-08.