Restore Physical Therapy PS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT6891 Issued in WA

Legal business name

RESTORE PHYSICAL THERAPY PS

Practice address

13909 Meridian E Ste A2
Puyallup, WA 98373-9180

Phone

(253) 446-6507

Fax

(253) 446-6194

NPI assigned

Sep 30, 2015

Organization subpart

No

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

Authorized official

Name

Darren F Mott, MSPT, JSCCNPI 1134224694

Title

Owner/Provider

Phone

(253) 446-6507

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Darren Mott, PT

  • Physical Therapist
  • Puyallup, WA
  • NPI 1134224694
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574380800000",
    "number": "1194195461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13909 MERIDIAN E STE A2",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983739180",
            "telephone_number": "253-446-6507",
            "fax_number": "253-446-6194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13909 MERIDIAN E STE A2",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983739180",
            "telephone_number": "253-446-6507",
            "fax_number": "253-446-6194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE PHYSICAL THERAPY PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-30",
        "last_updated": "2019-11-22",
        "status": "A",
        "authorized_official_last_name": "MOTT",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "253-446-6507",
        "authorized_official_credential": "MSPT, JSCC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT6891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Robyn Rae Repass, COTA
• Amee Elizabeth Respicio, LICSW, CMHS
• Dawn Michelle Resvick, LICSW
• Ret Sunrise Physical Therapy, PLLC
• Lise S. Retailliau, D.O.
• Reilly Elizabeth Retz, DPT
• Revera (Delaware) LLC

• Physical Therapist in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; 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.