Renegade Movement And Performance, LLC
Clinic/Center, Physical Therapy in Bedford, NH. Organization (NPI-2).
NPI number1770100893
StatusActive
Last updated in NPPESJun 15, 2022
Details
- NPI
- 1770100893
- Entity type
- Organization (NPI-2)
- Legal business name
- Renegade Movement And Performance, LLC
- Organization subpart
- No
- Enumeration date
- Jul 6, 2020
- Certification date
- Jun 15, 2022
- Last updated
- Jun 15, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | – | – | Yes |
Practice location
10 Commerce Park N Ste 7bBedford, NH 03110-6907
Phone 603-267-0432
Mailing address
195 McGregor St Apt 414Manchester, NH 03102-3777
Phone 315-573-0705
Authorized official
Alexis Brunelle
Physical Therapist, Co-Owner
3155730705
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physical Therapy Clinic/Center providers in Bedford, NH
- Family Physical Therapy Services, INC.NPI 1952455016
- Manchester Health Services, LLCNPI 1174457220
- Patriot Physical Therapy, PLLCNPI 1366704918
- Saco Bay Orthopaedic And Sports Physical Therapy, INCNPI 1851059331
All 5 Physical Therapy Clinic/Center providers in Bedford · All 1,293 providers in Bedford
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