RENEE EIDE DPT, PT, ATC
NPI 1407601602
Physical Therapist - Sports in Milwaukee, WI

Q: What is Renee Eide's NPI number?

The NPI number for Renee Eide is 1407601602. It was assigned to this individual provider in the NPPES registry on April 22, 2024.

Q: What is Renee Eide's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.

Q: When was this NPI record last updated?

The NPPES record for Renee Eide was last updated on April 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 22, 2024

3365 S 103RD ST, MILWAUKEE, WI 53227(586) 596-0890 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Renee Eide Dpt, Pt, Atc NPPES

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

RENEE EIDE DPT, PT, ATC (NPI 1407601602) is an individual sports provider in Milwaukee, Wisconsin, licensed in Wisconsin (13034-24) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1407601602

Entity TypeIndividualFemale

Primary Taxonomy2251S0007X

Provider Legal NameRENEE EIDECredential: DPT, PT, ATC

Location Address3365 S 103RD STMilwaukee, WI 53227-4161

Mailing Address3365 S 103rd StMilwaukee, WI 53227-4161

Phone(586) 596-0890

Sole ProprietorYes

Enumeration DateApril 22, 2024

NPPES CertifiedApril 21, 2024

✔ NPI 1407601602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · SportsRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251S0007X

License✔ Licensed in WI · 13034-24

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.

3365 S 103RD ST, Milwaukee, WI 53227

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Other Providers at the Same Location NPPES 20

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

DR. CHARLOTTE MARIA SHANAVER PHD; LP; HSP

Psychologist

3365 S 103RD ST
MILWAUKEE, WI 53227

Milwaukee County (414) 604-7500

KYLE SCHARER

Specialist/Technologist (Athletic Trainer)

3365 S 103RD ST
MILWAUKEE, WI 53227

Milwaukee County (414) 604-7260

CHERIE SGAMBATI D.O.

Psychiatry & Neurology (Child & Adolescent Psychiatry)

3365 S 103RD ST
MILWAUKEE, WI 53227

Milwaukee County (414) 228-4800

CHILDREN'S MEDICAL GROUP

Clinic/Center (Mental Health (Including Community Mental Health Center))

3365 S 103RD ST
MILWAUKEE, WI 53227

Milwaukee County (414) 228-4800

KENYITA TAMARA BERRYHILL M.D.

Pediatrics

3365 S 103RD ST, SUITE 100
MILWAUKEE, WI 53227

Milwaukee County (414) 321-3951

DR. KEVIN D WALTER MD

Pediatrics (Sports Medicine)

3365 S 103RD ST, GREENWAY MEDICAL CENTER
MILWAUKEE, WI 53227

Milwaukee County (414) 604-7501

DAVID MEULER MD

Pediatrics

3365 S 103RD ST
MILWAUKEE, WI 53227

Milwaukee County (414) 321-3951

DR. BRIAN R BUTLER DPT, ATC

Physical Therapist

3365 S 103RD ST
MILWAUKEE, WI 53227

Milwaukee County (414) 604-7530

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 Renee Eide's NPI number?

The NPI number for Renee Eide is 1407601602. It was assigned to this individual provider in the NPPES registry on April 22, 2024.

Where is Renee Eide located?

Renee Eide practices at 3365 S 103rd St, Milwaukee, WI 53227. The listed phone number is (586) 596-0890.

What is Renee Eide's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.

When was this NPI record last updated?

The NPPES record for Renee Eide was last updated on April 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.