Restore Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

RESTORE PHYSICAL THERAPY, LLC

Practice address

2607 S 159TH PLZ
Omaha, NE 68130-1705

Phone

(402) 707-5769

NPI assigned

Jun 20, 2012

Organization subpart

No

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

Authorized official

Name

Ryan HruskaNPI 1558542225

Title

PT/Owner

Phone

(402) 707-5769

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ryan John Hruska, DPT

  • Physical Therapist
  • Omaha, NE
  • NPI 1558542225
  Medicare reassignment Care Compare group NPD Authorized official
• Justin Baird

  • Physical Therapist
  • Omaha, NE
  • NPI 1053862342
  Medicare reassignment Care Compare group NPD
• Kurt D Weidauer, DPT

  • Physical Therapist
  • Omaha, NE
  • NPI 1245383025
  NPD (past)

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346716800000",
    "number": "1063775450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 S 159TH PLZ",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681301705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 S 159TH PLZ",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681301705",
            "telephone_number": "402-707-5769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-20",
        "last_updated": "2012-09-04",
        "status": "A",
        "authorized_official_last_name": "HRUSKA",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PT/OWNER",
        "authorized_official_telephone_number": "402-707-5769"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Ann Respeliers I, LADC
• Jeri Resser
• Restoration & Peace Counseling
• Restoration Counseling
• Restoration Therapy
• Restore Rebuild Reconnect Counseling Center
• Restored Heats Counseling LLC
• Results Chiropractic
• Results Counseling LLC
• Nyamuoch Elizabeth Reth

• Physical Therapist in Omaha, NE
• Providers in Omaha, NE by specialty
• Physical Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; 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.