Active NPI
Restore Therapeutics Physical Therapy Inc
- Physical Therapist
- Fresno, CA
National Provider Identifier
1063248151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- RESTORE THERAPEUTICS PHYSICAL THERAPY INC
- Practice address
- 1616 W Shaw Ave Ste B7
Fresno, CA 93711-3513 - Phone
- (559) 515-6465
- NPI assigned
- Sep 13, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Akemi Kaushik
- Title
- Ceo
- Phone
- (888) 530-4415
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
1616 W Shaw Ave Ste B7
Fresno, CA 93711-3513
Mailing address
1616 W Shaw Ave Ste B7
Fresno, CA 93711-3513
National Provider Directory
National Provider DirectoryLocations
1616 W Shaw Ave
Ste B7
Fresno, CA 93711
Phone (209) 226-7302
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Fresno, CA
- NPI 1912779380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726185600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738540800000",
"number": "1063248151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1616 W SHAW AVE STE B7",
"city": "FRESNO",
"state": "CA",
"postal_code": "937113513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1616 W SHAW AVE STE B7",
"city": "FRESNO",
"state": "CA",
"postal_code": "937113513",
"telephone_number": "559-515-6465"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESTORE THERAPEUTICS PHYSICAL THERAPY INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-13",
"last_updated": "2025-02-03",
"certification_date": "2025-01-30",
"status": "A",
"authorized_official_last_name": "KAUSHIK",
"authorized_official_first_name": "AKEMI",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "888-530-4415"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.