Organization Active NPI

Restore Physical Therapy and Wellness Center Inc.

  • Physical Therapy Clinic/Center
  • Hadley, MA
National Provider Identifier
1093059354
Registry record updated Mar 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
17287 Issued in MA
Legal business name
RESTORE PHYSICAL THERAPY AND WELLNESS CENTER INC.
Practice address
220 Russell St
Suite 400
Hadley, MA 01035-9542
Phone
(413) 387-0722
Fax
(413) 387-0723
NPI assigned
Nov 26, 2012
Last updated
Mar 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2016

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

Authorized official

Name
Dr. Patricia Julie Young, DPTNPI 1942273875
Title
Physical Therapist/ Owner
Phone
(413) 387-0722

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 17287 MA Primary

Addresses

Primary practice location

220 Russell St
Suite 400
Hadley, MA 01035-9542

Mailing address

220 Russell St Ste 400
Hadley, MA 01035-9542
Phone (413) 387-0722

National Provider Directory

National Provider Directory

Locations

220 Russell St
Ste 400
Hadley, MA 01035
Phone (413) 387-0722

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457913600000",
    "number": "1093059354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 RUSSELL ST STE 400",
            "city": "HADLEY",
            "state": "MA",
            "postal_code": "010359542",
            "telephone_number": "413-387-0722",
            "fax_number": "413-387-0723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 RUSSELL ST",
            "address_2": "SUITE 400",
            "city": "HADLEY",
            "state": "MA",
            "postal_code": "010359542",
            "telephone_number": "413-387-0722",
            "fax_number": "413-387-0723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE PHYSICAL THERAPY AND WELLNESS CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-26",
        "last_updated": "2016-03-14",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "JULIE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/ OWNER",
        "authorized_official_telephone_number": "413-387-0722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MA",
            "license": "17287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hadley, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.