RENEW PHYSICAL THERAPY PC
NPI 1255508453
Clinic/Center - Physical Therapy in Novato, CA
About Renew Physical Therapy Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RENEW PHYSICAL THERAPY PC (NPI 1255508453) is a healthcare organization registered as a physical therapy in Novato, California and active in the NPI registry since May 2008. The organization maintains 5 additional practice locations and lists Stephen Mongiello, Physical Therapist/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 5
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Renew Physical Therapy Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
24Medicare enrollment records show 24 clinicians reassign Medicare billing to Renew Physical Therapy PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. Listed here are the 20 practicing nearest to this location.
Nearest to this location (20)
See all 24Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Physical Therapy PC's NPI number?
The NPI number for Renew Physical Therapy PC is 1255508453. It was assigned to this organization in the NPPES registry on May 15, 2008.
Where is Renew Physical Therapy PC located?
Renew Physical Therapy PC is located at 1427 Grant Ave, Novato, CA 94945. The listed phone number is (415) 895-1705.
What is Renew Physical Therapy PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.
Is Renew Physical Therapy PC enrolled in Medicare?
Yes. Renew Physical Therapy PC is registered in the Medicare PECOS enrollment system.
When is Renew Physical Therapy PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Physical/Occupational Therapy Group in Private Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Renew Physical Therapy PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 24 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Renew Physical Therapy PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Renew Physical Therapy PC was last updated on February 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Renew Physical Therapy Pc · NPI 1255508453
Physical Therapy organization in Novato, California. Organization record, active in the CMS NPPES registry since May 15, 2008.
## Identity
- **NPI:** 1255508453 (Entity type: Organization)
- **Enumerated:** May 15, 2008
- **Primary specialty:** Clinic/Center - Physical Therapy · taxonomy 261QP2000X
- **Organization subpart:** No
- **Authorized official:** Stephen Mongiello, PHYSICAL THERAPIST/OWNER
## Practice location
- **Address:** 1427 GRANT AVE, Novato, CA 94945
- **Phone:** (415) 895-1705 · **Fax:** (415) 707-6776
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, California, Physical/Occupational Therapy Group in Private Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 24 clinicians (Physical Therapist in Private Practice) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address and 4 within 10 miles; [full list](https://npiprofile.com/npi/1255508453/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 8, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1255508453) · Data from the CMS NPPES public registry.