Restorative Pain Care

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

RESTORATIVE PAIN CARE

Doing business as

Restorative Pain Care

Practice address

704 W Nields St
West Chester, PA 19382-4102

Phone

(518) 650-5687

NPI assigned

May 22, 2019

Last updated

Feb 1, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nathan Maltezos, DONPI 1427477462

Title

Owner

Phone

(518) 650-5687

Specialties & licenses 1

Addresses

Other names 1

• Restorative Pain Care Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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.

• Nathan Maltezos, DO

  • Interventional Pain Medicine Physician
  • West Chester, PA
  • NPI 1427477462
  Medicare reassignment Care Compare group NPD Authorized official
• Farshad Rashidian, D.O.

  • Interventional Pain Medicine Physician
  • West Chester, PA
  • NPI 1639582067
  Medicare reassignment Care Compare group NPD
• Taylor E Clark, CRNP

  • Gerontology Nurse Practitioner
  • West Chester, PA
  • NPI 1235657545
  NPD

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612137600000",
    "number": "1033776257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 W NIELDS ST",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193824102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 W NIELDS ST",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193824102",
            "telephone_number": "518-650-5687"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "409 Portland Dr",
            "address_purpose": "LOCATION",
            "city": "Broomall",
            "state": "PA",
            "postal_code": "190084120",
            "country_code": "US",
            "telephone_number": "610-637-9696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RESTORATIVE PAIN CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-22",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A",
        "authorized_official_last_name": "MALTEZOS",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-650-5687",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "restorativepaincare@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "409 Portland Dr",
            "city": "Broomall",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190084120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Restorative Pain Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Restorative Pain Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Rendemonti
• Pradeep Renninger, MS, OTR/L
• Kerri Anne Repp, PT, DPT
• Mandi Resnick, LCSW
• Resources for Human Development, Inc.
• Maria Soledad Retamar, LPC
• Steven John Reto, O.D.
• Shane Reuther
• Revive Womens Therapy LLC
• Sandra Reyburn, RN

• Interventional Pain Medicine Physician in West Chester, PA
• Providers in West Chester, PA by specialty
• Interventional Pain Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.