Renew Physical Therapy PC
NPI 1255508453 · Physical Therapy Clinic/Center · Novato, CA
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Renew Physical Therapy PC is a Physical Therapy Clinic/Center organization in Novato, CA (NPI 1255508453).
Provider details
- NPI number
- 1255508453
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Stephen Mongiello, Physical Therapist/Owner(415) 381-8707
- License
- 23976 (CA)
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
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
6 documented practice locations
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
Additional practice locations (5)
- 591 Redwood Hwy Frontage Rd Ste 2235Mill Valley, CA 94941-6028Phone: (415) 381-8707Fax: (415) 634-6033
- 1427 Grant AveNovato, CA 94945Phone: (415) 895-1705Fax: (415) 707-6776
- 460 Boulevard Way Ste 2dPiedmont, CA 94610-1525Phone: (510) 922-8872
- 9909 Mira Mesa Blvd Ste 260San Diego, CA 92131-1064Phone: (858) 385-9400
- 659 Commercial St Ste 101San Francisco, CA 94111-2566
Registry dates
- Enumerated
- 2008-05-15
- Last updated
- 2020-02-08
- Certified
- 2020-02-08
Frequently asked questions
- What is Renew Physical Therapy PC's NPI number?
- Renew Physical Therapy PC's National Provider Identifier (NPI) is 1255508453, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Renew Physical Therapy PC?
- Renew Physical Therapy PC is classified in the NPPES registry as Physical Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Renew Physical Therapy PC located?
- Renew Physical Therapy PC's practice location on file with NPPES is 1427 Grant Ave, Novato, CA 94945.
- What is Renew Physical Therapy PC's phone number?
- The practice phone number listed in the NPPES registry for Renew Physical Therapy PC is (415) 895-1705.
- Does Renew Physical Therapy PC accept Medicare?
- Renew Physical Therapy PC 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 Renew Physical Therapy PC?
- The authorized official listed on Renew Physical Therapy PC's NPPES record is Stephen Mongiello, Physical Therapist/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Renew Physical Therapy PC's NPI active?
- Yes — Renew Physical Therapy PC's NPI (1255508453) is active in the NPPES registry as of the last update on 2020-02-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.