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

Renuka Jain

Individual provider Physical Therapist · NPI 1194924217

Renuka Jain is a Physical Therapist in Private Practice in Ellicott City, Maryland. Qualified in 2006, 20 years ago. Practices with Revive Physical Therapy LLC, a 6-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
20
Licensed in
MD
In the registry since
2007
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Practice location Address checks out

10300B Baltimore National Pike
Ellicott City, MD 21042-2128
Phone: (410) 988-5171
Fax: (410) 988-5349
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 22176 (MD)

Record details

NPI number1194924217
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 18, 2007
Last updated in NPPESNovember 21, 2014

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Revive Physical Therapy Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Ellicott City