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

Mark Reniedo

Individual provider Physical Therapist · NPI 1851831317

Mark Reniedo is a Physical Therapist in Private Practice in Astoria, New York. Qualified in 2021, 5 years ago. Practices with Montefiore Medical Center, a 2,796-clinician group, works from 2 locations and offers telehealth. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2017
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Practice location Address checks out

2322 30th Ave
Astoria, NY 11102-3255
Phone: (718) 545-0700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7345 Woodland Dr, Indianapolis, IN 46278-1737 — (317) 286-2885

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 040708 (NY)

Record details

NPI number1851831317
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 3, 2017
Last updated in NPPESJuly 9, 2024
Certification dateJuly 9, 2024
Mailing address7345 Woodland Dr, Indianapolis, IN 46278-1737

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Montefiore Medical Center — 2796 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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