NPIMap

Organization Active NPI

Restore Therapy Services, LTD

Doing business as Carillon Oaks

  • Physical Therapist
  • Theodore, AL
National Provider Identifier
1114539608
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
RESTORE THERAPY SERVICES, LTD
Doing business as
Carillon Oaks
Practice address
5461 Kooiman Road
Theodore, AL 36582
Phone
(205) 942-6820
NPI assigned
Aug 18, 2020
Last updated
Aug 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Authorized official

Name
Yolanda Davison
Title
Director of Billing
Phone
(205) 942-6820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

5461 Kooiman Road
Theodore, AL 36582

Mailing address

245 Cahaba Valley Pkwy Ste 200
Pelham, AL 35124-2217
Phone (205) 942-6820

Other names 1

  • Carillon Oaks Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Restore Aspire13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597708800000",
    "number": "1114539608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 CAHABA VALLEY PKWY STE 200",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351242217",
            "telephone_number": "205-942-6820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5461 KOOIMAN ROAD",
            "city": "THEODORE",
            "state": "AL",
            "postal_code": "36582",
            "telephone_number": "205-942-6820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE THERAPY SERVICES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A",
        "authorized_official_last_name": "DAVISON",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "205-942-6820"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carillon Oaks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Theodore, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.