OrganizationActive
Renew Physical Therapy and Wellness, LLC
NPI 1972092989 · Orthopedic Physical Therapist · Waupaca, WI
Provider details
- NPI number
- 1972092989
- Entity type
- Organization
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Kimberly Johnson, Owner(763) 228-2755
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
N2919 County Road Qq
Waupaca, WI 54981
Phone: (763) 228-2755
Street-level locationGet directions
Mailing address
128 5th Ave N
Junction City, WI 54443-9411
Other names (DBA / former)
- Doing business as
- Renew Physical Therapy and Wellness
Registry dates
- Enumerated
- 2018-05-04
- Last updated
- 2018-05-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.