Levi James Renninger, PT, DPT
Levi James Renninger, PT, DPT is a Physical Therapist in Private Practice in San Diego, California. Qualified in 2022, 4 years ago. Practices with Mdrs Spine and Sport Inc, a 182-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 4
- Licensed in
- CA
- In the registry since
- 2022
What do these letters mean?
Practice location Address checks out
3959 Ruffin Rd Ste JSan Diego, CA 92123-1830
Phone: (858) 279-5570
Fax: (858) 279-5303
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 3145 Rosecrans St Ste F, San Diego, CA 92110-4831 — (619) 223-7175
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 302145 (CA) |
|---|
Record details
| NPI number | 1831820554 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PT , DPT |
| Sole proprietor | Yes |
| NPI enumerated | June 22, 2022 |
| Last updated in NPPES | June 22, 2022 |
| Certification date | June 22, 2022 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Mdrs Spine And Sport Inc — 182 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
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