NPIMap

Organization Active NPI

Restore Physical Therapy ,LLC

  • Physical Therapy Clinic/Center
  • Monroe, LA
National Provider Identifier
1124232889
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
RESTORE PHYSICAL THERAPY ,LLC
Practice address
5000 Forsythe Byp Ste B
Monroe, LA 71201-2168
Phone
(318) 325-3930
Fax
(318) 325-3981
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Robert Barry Dopson, RRT
Title
Secretary
Phone
31832533930

Specialties & licenses 1

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

Addresses

Primary practice location

5000 Forsythe Byp Ste B
Monroe, LA 71201-2168

Mailing address

5000 Forsythe Byp Ste B
Monroe, LA 71201-2168
Phone (318) 325-3930

National Provider Directory

National Provider Directory

Locations

5000 Forsythe Byp
Ste B
Monroe, LA 71201
Phone (318) 325-3930

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124232889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 FORSYTHE BYP STE B",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712012168",
            "telephone_number": "318-325-3930",
            "fax_number": "318-325-3981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 FORSYTHE BYP STE B",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712012168",
            "telephone_number": "318-325-3930",
            "fax_number": "318-325-3981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE PHYSICAL THERAPY ,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOPSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "BARRY",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "31832533930",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RRT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.