Restorative Pain Institute

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

RESTORATIVE PAIN INSTITUTE

Practice address

4201 Springhurst Blvd Ste 102
Louisville, KY 40241-6156

Phone

(502) 515-6090

NPI assigned

Mar 11, 2025

Last updated

Apr 23, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Timothy James BeachamNPI 1669670360

Title

Owner

Phone

(502) 515-4901

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Restorative Pain Institute

  • Physician Assistant
  • Louisville, KY
  • NPI 1245021369

  O20231026003133

  Same enrollment
• Restorative Pain Institute

  • Interventional Pain Medicine Physician
  • Louisville, KY
  • NPI 1871275792

  O20231026003133

  Same enrollment

Tax ID family

Restorative Pain Institute2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Restorative Pain Institute

  • Physician Assistant
  • Louisville, KY
  • NPI 1245021369
  NPD tax ID

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Timothy Beacham, MD

  • Pain Medicine (Anesthesiology) Physician
  • Louisville, KY
  • NPI 1669670360
  NPD (past) Authorized official
• Jennifer Walters, PA-C

  • Physician Assistant
  • Louisville, KY
  • NPI 1376528216
  NPD
• Anne Noelle Powell

  • Family Nurse Practitioner
  • Louisville, KY
  • NPI 1982175329
  NPD (past)
• Dany Rodriguez Gonzalez, APRN

  • Family Nurse Practitioner
  • Louisville, KY
  • NPI 1952116253
  NPD (past)

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

{
    "created_epoch": "1741651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745366400000",
    "number": "1174322309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 SPRINGHURST BLVD STE 102",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402416156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 SPRINGHURST BLVD STE 102",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402416156",
            "telephone_number": "502-515-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATIVE PAIN INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-11",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A",
        "authorized_official_last_name": "BEACHAM",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-515-4901"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Resp-a-Care Inc (Rotech of Central Kentucky)
• Debra A Ress
• Restoration at Servants Heart LLC
• Restoration Center Inc.
• Restoration House LLC
• Restorative Pain Institute
• Restorative Pain Institute
• Restore & Flow Studio
• Restore Rehabilitation
• Restore Wellness

• Nurse Practitioner in Louisville, KY
• Providers in Louisville, KY by specialty
• Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.