Organization Active NPI

Healing Hands Restorative Medicine Inc

  • Physical Medicine & Rehabilitation Physician
  • Bowie, MD
National Provider Identifier
1033000401
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
HEALING HANDS RESTORATIVE MEDICINE INC
Practice address
17351 Melford Blvd
Bowie, MD 20715-4457
Phone
(727) 742-5721
Fax
(702) 977-1496
NPI assigned
Jul 14, 2025
Last updated
Oct 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kacey Callison
Title
Owner
Phone
(725) 710-9224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NU Primary

Addresses

Primary practice location

17351 Melford Blvd
Bowie, MD 20715-4457

Mailing address

30725 US Highway 19 N Ste 277
Palm Harbor, FL 34684-4400
Phone (727) 742-5721

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251001003422 DC Part B Supplier - Clinic/Group Practice 0143726836 Receives reassigned benefits from 1 practitioner
Practice locations: Bowie, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1752451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761696000000",
    "number": "1033000401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30725 US HIGHWAY 19 N STE 277",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346844400",
            "telephone_number": "727-742-5721",
            "fax_number": "702-977-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17351 MELFORD BLVD",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154457",
            "telephone_number": "727-742-5721",
            "fax_number": "702-977-1496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HANDS RESTORATIVE MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-14",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A",
        "authorized_official_last_name": "CALLISON",
        "authorized_official_first_name": "KACEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "725-710-9224"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.