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

Renew Physical Therapy, Inc

Organization Physical Therapy Clinic/Center · NPI 1639410434

Renew Physical Therapy, Inc is a Physical Therapy Clinic/Center in Green Bay, Wisconsin. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2701 Larsen Rd Ste 111
Green Bay, WI 54303-4863
Phone: (920) 883-2284
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X

Record details

NPI number1639410434
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shawn Jackson — Physical Therapist · (920) 833-2284
NPI enumeratedMarch 5, 2013
Last updated in NPPESMarch 22, 2013
Mailing address2701 Larsen Rd, Suite 111, Green Bay, WI 54303-4863

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