# RENEW PHYSICAL THERAPY AND WELLNESS CENTER, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942438379
- **Authorized official:** MR. TAMARA EVETTE JOHNSON MSPT (PHYSICAL THERAPIST)
- **Authorized official phone:** (301) 613-2011

## Contact information

- **Practice address:** 938 E SWAN CREEK RD, SUITE 269, FORT WASHINGTON, MD 20744-5250
- **Practice address phone:** (301) 613-2011
- **Mailing address:** 938 E SWAN CREEK RD, SUITE 269, FORT WASHINGTON, MD 20744-5250
- **Mailing address phone:** (301) 613-2011

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 20141 | MD | Yes |

## Other

- **Enumeration date:** 06/24/2009
- **Last updated:** 06/24/2009