Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Renew Pediatric Therapy LLC

Organization Hearing and Speech Clinic/Center · NPI 1043163926

Renew Pediatric Therapy LLC is a Hearing and Speech Clinic/Center in Forest Lake, Minnesota. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

21995 Finley Ct N
Forest Lake, MN 55025-9779
Phone: (480) 529-0269
Fax: (651) 243-0305
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hearing and Speech Clinic/Center (primary) Taxonomy 261QH0700X

Record details

NPI number1043163926
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ellen Van Tassel — Owner · (480) 529-0269
NPI enumeratedFebruary 19, 2026
Last updated in NPPESFebruary 19, 2026
Certification dateFebruary 19, 2026
Mailing address21995 Finley Ct N, Forest Lake, MN 55025-9779