Active NPI
Lee Ingal Restar, P.T.
- Physical Therapist
- Phelps, KY
National Provider Identifier
1184888786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 005049
- Practice address
- 60 Phillips Branch Rd
Phelps, KY 41553-9061 - Phone
- (606) 456-8725
- Fax
- (606) 456-4938
- NPI assigned
- Jul 12, 2008
- Last updated
- Jul 12, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 005049 | KY | Primary |
Addresses
Primary practice location
60 Phillips Branch Rd
Phelps, KY 41553-9061
Mailing address
PO Box 86
Forest Hills, KY 41527-0086
Phone (606) 237-1167
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005049 | KY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215820800000",
"number": "1184888786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 86",
"city": "FOREST HILLS",
"state": "KY",
"postal_code": "415270086",
"telephone_number": "606-237-1167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 PHILLIPS BRANCH RD",
"city": "PHELPS",
"state": "KY",
"postal_code": "415539061",
"telephone_number": "606-456-8725",
"fax_number": "606-456-4938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RESTAR",
"first_name": "LEE",
"middle_name": "INGAL",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-12",
"last_updated": "2008-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "005049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phelps, KY
- Robert Sean McGuirk, OTR/L
- Rina Dawn McNutt, COTA/L
- One Call Medical and Telehealth
- Phelps Ky Opco LLC (Good Shepherd Health and Rehabilitation)
- Presbyterian Homes and Services of Kentucky, Inc (Good Shepherd Community Nursing Center)
- James Donith Sanders X, M.S., CCC/SLP
- Sound Mind Counseling, LLC
- Danielle Marie Sperow, COTA
- Henrietta Lynn Sullivan
- Rhonda Whitt, P.T.A.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.