RENEW PEDIATRIC THERAPY LLC
NPI 1043163926
Clinic/Center - Hearing and Speech in Forest Lake, MN

Active since February 19, 2026
21995 FINLEY CT N, FOREST LAKE, MN 55025(480) 529-0269(651) 243-0305 Get Directions Write a Review

NPPES record last updated: February 19, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Renew Pediatric Therapy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RENEW PEDIATRIC THERAPY LLC (NPI 1043163926) is a healthcare organization registered as a hearing and speech in Forest Lake, Minnesota and active in the NPI registry since February 2026. The organization lists Ellen E Van Tassel, Owner, as its authorized official.

NPPES Registry Identity

NPI1043163926
Entity TypeOrganization
Primary Taxonomy261QH0700X
Legal Business NameRENEW PEDIATRIC THERAPY LLC
Location Address21995 FINLEY CT NForest Lake, MN 55025-9779
Mailing Address21995 Finley Ct NForest Lake, MN 55025-9779 · (480) 529-0269 · Fax (651) 243-0305
Fax(651) 243-0305
Organization SubpartNo
Authorized OfficialEllen E Van TasselOwner · (480) 529-0269
Enumeration DateFebruary 19, 2026
NPPES CertifiedFebruary 19, 2026
NPI 1043163926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Hearing and SpeechAmbulatory Health Care Facilities
Taxonomy Code261QH0700X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability.
21995 FINLEY CT N, Forest Lake, MN 55025

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Renew Pediatric Therapy LLC's NPI number?

The NPI number for Renew Pediatric Therapy LLC is 1043163926. It was assigned to this organization in the NPPES registry on February 19, 2026.

Where is Renew Pediatric Therapy LLC located?

Renew Pediatric Therapy LLC is located at 21995 Finley Ct N, Forest Lake, MN 55025. The listed phone number is (480) 529-0269.

What is Renew Pediatric Therapy LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Hearing and Speech, with taxonomy code 261QH0700X.

When was this NPI record last updated?

The NPPES record for Renew Pediatric Therapy LLC was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.