Renew Pediatric Therapy LLC
NPI 1043163926 · Hearing and Speech Clinic/Center · Forest Lake, MN
Renew Pediatric Therapy LLC is a Hearing and Speech Clinic/Center organization in Forest Lake, MN (NPI 1043163926).
Provider details
- NPI number
- 1043163926
- Entity type
- Organization
- Primary specialty
- Hearing and Speech Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ellen Van Tassel, Owner(480) 529-0269
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2026-02-19
- Last updated
- 2026-02-19
- Certified
- 2026-02-19
Frequently asked questions
- What is Renew Pediatric Therapy LLC's NPI number?
- Renew Pediatric Therapy LLC's National Provider Identifier (NPI) is 1043163926, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Renew Pediatric Therapy LLC?
- Renew Pediatric Therapy LLC is classified in the NPPES registry as Hearing and Speech Clinic/Center (Ambulatory Health Care Facilities).
- Where is Renew Pediatric Therapy LLC located?
- Renew Pediatric Therapy LLC's practice location on file with NPPES is 21995 Finley Ct N, Forest Lake, MN 55025-9779.
- What is Renew Pediatric Therapy LLC's phone number?
- The practice phone number listed in the NPPES registry for Renew Pediatric Therapy LLC is (480) 529-0269.
- Who is the authorized official for Renew Pediatric Therapy LLC?
- The authorized official listed on Renew Pediatric Therapy LLC's NPPES record is Ellen Van Tassel, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Renew Pediatric Therapy LLC's NPI active?
- Yes — Renew Pediatric Therapy LLC's NPI (1043163926) is active in the NPPES registry as of the last update on 2026-02-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.