Restoration Spine and Sport, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

RESTORATION SPINE AND SPORT, LLC

Practice address

1217 W Miller St Ste 1
Fruitland Park, FL 34731-3029

Phone

(527) 500-2773

Fax

(352) 260-0240

NPI assigned

Aug 13, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Joseph Uhrik, DC

Title

Owner/Chiropractor

Phone

(847) 894-8901

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Foy Edward Dark Jr., DC

  • Chiropractor
  • Leesburg, FL
  • NPI 1174628481
  NPD (past)
• Ronald Budd Moussette Jr., DC

  • Chiropractor
  • Lady Lake, FL
  • NPI 1003915257
  NPD (past)

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1104437078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 W MILLER ST STE 1",
            "city": "FRUITLAND PARK",
            "state": "FL",
            "postal_code": "347313029",
            "telephone_number": "352-750-0277",
            "fax_number": "352-260-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 W MILLER ST STE 1",
            "city": "FRUITLAND PARK",
            "state": "FL",
            "postal_code": "347313029",
            "telephone_number": "527-500-2773",
            "fax_number": "352-260-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION SPINE AND SPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-13",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "UHRIK",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "847-894-8901",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annette Passalacqua
• Jennifer Nasrin Paul, D.C.
• Uma Persaud
• Alysha Pettis
• Piney Ridge Blvd, LLC
• Daisy Rivera
• Alexis Joy Rosenwald
• Sanara Clinical Services PLLC
• Paula Hinton Smith, ED. S
• Terrance Warren Snyder, DDS

• Chiropractor in Fruitland Park, FL
• Providers in Fruitland Park, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.