ANDREW J RENAUD (DPT) – Physical Therapist, NPI 1063431898

ANDREW J RENAUD (DPT) is a healthcare provider. based in State college, Pennsylvania. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT018190 (PA). The NPI Number for ANDREW J RENAUD (DPT) is 1063431898

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW J RENAUD (DPT)
NPI
1063431898
Phone
(814) 865-3566
Address
1850 E PARK AVE
Enumeration Date
19 July 2006
Last Update Date
17 February 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8148890310
Graduation Year
2006 (20 years ago)
PAC ID
0143306472
Group Practice PAC ID
7113100181
Professional Enrollment ID
I20080326000593
Address ID
PA166026411AL613XXBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,280 PHYSICAL THERAPIST IN PRIVATE PRACTICE in PA

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Provider Addresses for ANDREW J RENAUD (DPT)

  • 1850, East Park Avenue, State College, Centre County, Pennsylvania, 16803, United States

    SUITE 112

    STATE COLLEGE, PA 168036706

    Phone: (814) 865-3566

    Fax: (814) 235-2492

    Type: Location

  • 2414, Autumnwood Drive, Hunter's Chase, Pine Hall, State College, Centre County, Pennsylvania, 16801, United States

    STATE COLLEGE, PA 168012485

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-03-26

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080326000593IPhysical Therapist In Private PracticePATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes66251$0
97140Therapy procedure using manual technique, each 15 minutes30229$0
97161Evaluation for physical therapy, typically 20 minutes4843$0
View full utilization report →

Insurance plans in this area (ZIP 16803)

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Provider's Procedures

ANDREW J RENAUD (DPT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYPA97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes40838

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7113100181View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeAL
-PA
-PA
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticePA

Reviews

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Frequently asked questions

What unique ID ties claims to ANDREW J RENAUD (DPT)?
NPI 1063431898 is assigned to ANDREW J RENAUD (DPT) under the national enumeration system.
Is ANDREW J RENAUD (DPT)'s NPI currently valid?
The extract we use shows ANDREW J RENAUD (DPT) as active.
What does ANDREW J RENAUD (DPT) treat or focus on?
Patients typically see ANDREW J RENAUD (DPT) under the specialty Physical Therapist. Clinical services aligned with this taxonomy classification.
What location metadata exists for ANDREW J RENAUD (DPT)?
The page summarizes State College, Pennsylvania for ANDREW J RENAUD (DPT); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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