NPIMap

Organization Active NPI

Restore Therapy Services, LTD.

Doing business as Restore Therapy Services Outpatient

  • Physical Therapist
  • Cullman, AL
National Provider Identifier
1164476644
Registry record updated Aug 13, 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
Restore Therapy Services Outpatient
Practice address
401 Arnold St NE
Cullman, AL 35055-1968
Phone
(256) 737-9495
Fax
(256) 737-9301
NPI assigned
May 20, 2006
Last updated
Aug 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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

Authorized official

Name
Mrs. Debbie B Knowles
Title
Op Director
Phone
(205) 942-6820

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X AL Primary
Occupational Therapist 225X00000X AL
Audiologist 231H00000X AL
Speech-Language Pathologist 235Z00000X AL

Addresses

Primary practice location

401 Arnold St NE
Cullman, AL 35055-1968

Mailing address

245 Cahaba Valley Pkwy
Suite 200
Pelham, AL 35124-2216
Phone (205) 942-6820

Other identifiers 2

IdentifierTypeStateIssuer
CERTIFICATE # 11968OtherALAL STATE BOARD OF HEALTH
011220OtherALBCBS

Other names 1

  • Restore Therapy Services Outpatient Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030916000036 AL Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 1951210061 Practice locations: Clanton, AL

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597276800000",
    "number": "1164476644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 CAHABA VALLEY PKWY",
            "address_2": "SUITE 200",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351242216",
            "telephone_number": "205-942-6820",
            "fax_number": "205-942-5627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 ARNOLD ST NE",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350551968",
            "telephone_number": "256-737-9495",
            "fax_number": "256-737-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE THERAPY SERVICES, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A",
        "authorized_official_last_name": "KNOWLES",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OP DIRECTOR",
        "authorized_official_telephone_number": "205-942-6820",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AL",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AL STATE BOARD OF HEALTH",
            "identifier": "CERTIFICATE # 11968",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "011220",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restore Therapy Services Outpatient",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cullman, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.