OrganizationActive
Renegade Movement and Performance, LLC
NPI 1770100893 · Physical Therapy Clinic/Center · Bedford, NH
Provider details
- NPI number
- 1770100893
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Alexis Brunelle, Physical Therapist, Co-Owner(315) 573-0705
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
10 Commerce Park N Ste 7b
Bedford, NH 03110-6907
Phone: (603) 267-0432
Street-level locationGet directions
Mailing address
195 Mcgregor St Apt 414
Manchester, NH 03102-3777
Registry dates
- Enumerated
- 2020-07-06
- Last updated
- 2022-06-15
- Certified
- 2022-06-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.