Restore Rehab LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

RESTORE REHAB LLC

Practice address

6712 Restoracy Dr
Whitestown, IN 46075-0089

Phone

(317) 506-1370

NPI assigned

Jul 11, 2025

Organization subpart

No

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

Authorized official

Name

Kara Riddell

Title

Controller

Phone

(317) 217-8601

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Practitioners 1

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

• Daniel Dean McKinzie, OTR, MPP

  • Neurorehabilitation Occupational Therapist
  • Brownsburg, IN
  • NPI 1932782695

  IN

  Medicare reassignment NPD

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

{
    "created_epoch": "1752192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768780800000",
    "number": "1073404703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 E CITY CENTER DR",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323327",
            "telephone_number": "317-506-1370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6712 RESTORACY DR",
            "city": "WHITESTOWN",
            "state": "IN",
            "postal_code": "460750089",
            "telephone_number": "317-506-1370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "616 Green House Way",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "460323178",
            "country_code": "US",
            "telephone_number": "317-401-8888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RESTORE REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-11",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A",
        "authorized_official_last_name": "RIDDELL",
        "authorized_official_first_name": "KARA",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "317-217-8601"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Pollard, PHARMD, MBA
• Thomas A Pozywio, PHARM.D
• Amanda Prince, PHARMD, RPH
• Janet Redmond, RPH
• Loren Reid
• Tracy Richman, PHARMD
• Lesley B Rine, PHARMD
• Jose Leonardo Rivera-Fores, PHARMD
• Zainab Rizvi
• Devin Roach, RPH

• Physical Therapist in Whitestown, IN
• Providers in Whitestown, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; 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.