RENEW REHABILITATIVE MEDICINE
NPI 1184297954
Physical Medicine & Rehabilitation - Sports Medicine in Southfield, MI

Q: What is Renew Rehabilitative Medicine's NPI number?

The NPI number for Renew Rehabilitative Medicine is 1184297954. It was assigned to this organization in the NPPES registry on July 20, 2021.

Q: What is Renew Rehabilitative Medicine's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

Active since July 20, 2021

24725 W 12 MILE RD STE 260, SOUTHFIELD, MI 48034(248) 382-8052 Get Directions Write a Review

NPPES record last updated: May 20, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 20, 2022, Jul 20, 2021 (2 updates tracked since 2021).

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About Renew Rehabilitative Medicine NPPES

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

RENEW REHABILITATIVE MEDICINE (NPI 1184297954) is a healthcare organization registered as a sports medicine in Southfield, Michigan and active in the NPI registry since July 2021. The organization lists Morgan Glazer, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1184297954

Entity TypeOrganization

Primary Taxonomy2081S0010X

Legal Business NameRENEW REHABILITATIVE MEDICINE

Location Address24725 W 12 MILE RD STE 260Southfield, MI 48034-8310

Mailing Address24725 W 12 Mile Rd Ste 260Southfield, MI 48034-8310 · (248) 382-8052

Phone(248) 382-8052

Organization SubpartNo

Authorized OfficialMorgan GlazerAuthorized Official · (248) 550-4800

Enumeration DateJuly 20, 2021

Last NPPES UpdateMay 20, 20222 updates tracked since enumeration

NPPES CertifiedMay 20, 2022

✔ NPI 1184297954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2081S0010X

Definition

A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.

Also ListedClinic/Center · PainTaxonomy 261QP3300X

24725 W 12 MILE RD STE 260, Southfield, MI 48034

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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NICHOLAS ARISTON MALLES III DC

Chiropractor

24725 W 12 MILE RD STE 260
SOUTHFIELD, MI 48034

Oakland County (248) 353-2225

JUSTIN PATRICK PA

Physician Assistant

24725 W 12 MILE RD STE 260
SOUTHFIELD, MI 48034

Oakland County (248) 382-8052

RENEW SPINE AND REHAB INC

Emergency Medicine (Sports Medicine)

24725 W 12 MILE RD STE 260
SOUTHFIELD, MI 48034

Oakland County (248) 353-2225

AXIS PT

Physical Therapist

24725 W 12 MILE RD STE 260
SOUTHFIELD, MI 48034

Oakland County (248) 550-4800

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 Rehabilitative Medicine's NPI number?

The NPI number for Renew Rehabilitative Medicine is 1184297954. It was assigned to this organization in the NPPES registry on July 20, 2021.

Where is Renew Rehabilitative Medicine located?

Renew Rehabilitative Medicine is located at 24725 W 12 Mile Rd Ste 260, Southfield, MI 48034. The listed phone number is (248) 382-8052.

What is Renew Rehabilitative Medicine's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

When was this NPI record last updated?

The NPPES record for Renew Rehabilitative Medicine was last updated on May 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.