NPIMap

Organization Active NPI

Restorative Health Services, Inc

  • Prosthetic/Orthotic Supplier
  • Dickson, TN
National Provider Identifier
1043775745
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
RESTORATIVE HEALTH SERVICES, INC
Practice address
127 Crestview Park Dr Ste 104
Dickson, TN 37055-2854
Phone
(615) 740-0177
Fax
(615) 740-1154
NPI assigned
Feb 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Authorized official

Name
Lauren Vaughn
Title
Executive Vice President
Phone
(615) 890-2160

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OrthotistGroup: 193200000X MULTI-SPECIALTY GROUP 222Z00000X
ProsthetistGroup: 193200000X MULTI-SPECIALTY GROUP 224P00000X
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

127 Crestview Park Dr Ste 104
Dickson, TN 37055-2854

Mailing address

1024 N Highland Ave Ste B
Murfreesboro, TN 37130-2464
Phone (615) 217-9821

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191008002736 TN DME Supplier - Orthotic PersonnelDME Supplier - Medical Supply Company With Orthotic-ProstheticDME Supplier - Prosthetic Personnel 4688704372 Practice locations: Dickson, TN

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

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

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Restorative Health Services Inc127 Crestview Park Dr, Dickson, TN 37055-2854(615) 740-0177 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Mar 1, 2001

National Provider Directory

National Provider Directory
Tax ID family
Restorative Health Services Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1509 Prosperity Farms Rd
West Palm Beach, FL 33403
Phone (561) 882-1767

127 Crestview Park Dr
Ste 104
Dickson, TN 37055
Phone (615) 740-0177

101 Forrest Crossing Blvd
Ste 108A
Franklin, TN 37064
Phone (615) 435-3031

101 Forrest Crossing Blvd
Franklin, TN 37064
Phone (615) 435-3031

506 W Main St
Ste C
Lebanon, TN 37087
Phone (615) 443-7330

1816 N Washington St
Ste 104
Tullahoma, TN 37388
Phone (931) 563-7660

NPI Registry JSON

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623283200000",
    "number": "1043775745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 N HIGHLAND AVE STE B",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371302464",
            "telephone_number": "615-217-9821",
            "fax_number": "615-890-2361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 CRESTVIEW PARK DR STE 104",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552854",
            "telephone_number": "615-740-0177",
            "fax_number": "615-740-1154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATIVE HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-06",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "615-890-2160"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthotist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.