Renova PT LLC
NPI 1164291688 · Physical Therapist · Greeneville, TN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Renova PT LLC is a Physical Therapist organization in Greeneville, TN (NPI 1164291688).
Provider details
- NPI number
- 1164291688
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Milton De Brun, Director(404) 797-5058
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES 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
- 2023-12-26
- Last updated
- 2025-01-06
- Certified
- 2025-01-06
Frequently asked questions
- What is Renova PT LLC's NPI number?
- Renova PT LLC's National Provider Identifier (NPI) is 1164291688, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Renova PT LLC?
- Renova PT LLC is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Renova PT LLC located?
- Renova PT LLC's practice location on file with NPPES is 5515 Warrensburg Rd, Greeneville, TN 37743-3282.
- What is Renova PT LLC's phone number?
- The practice phone number listed in the NPPES registry for Renova PT LLC is (423) 788-5106.
- Does Renova PT LLC accept Medicare?
- Renova PT LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Renova PT LLC?
- The authorized official listed on Renova PT LLC's NPPES record is Milton De Brun, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Renova PT LLC's NPI active?
- Yes — Renova PT LLC's NPI (1164291688) is active in the NPPES registry as of the last update on 2025-01-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.