Organization Active NPI

Restored Wellness & Recovery, PLLC

  • Physician Assistant
  • Wilmington, NC
National Provider Identifier
1134044357
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Legal business name
RESTORED WELLNESS & RECOVERY, PLLC
Practice address
7601 Lost Tree Rd
Wilmington, NC 28411-9159
Phone
(910) 227-9956
Fax
(910) 202-6475
NPI assigned
Aug 13, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Authorized official

Name
Angela Booth, PA-C
Title
Managing Member
Phone
(910) 227-9956

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X Primary

Addresses

Primary practice location

7601 Lost Tree Rd
Wilmington, NC 28411-9159

Mailing address

7601 Lost Tree Rd
Wilmington, NC 28411-9159
Phone (910) 227-9956

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1786579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786579200000",
    "number": "1134044357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 LOST TREE RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284119159",
            "telephone_number": "910-227-9956",
            "fax_number": "910-202-6475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 LOST TREE RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284119159",
            "telephone_number": "910-227-9956",
            "fax_number": "910-202-6475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORED WELLNESS & RECOVERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-13",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A",
        "authorized_official_last_name": "BOOTH",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "910-227-9956",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.