Restore Therapy Services, LTD

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

RESTORE THERAPY SERVICES, LTD

Doing business as

Restore Outpatient Therapy of Mobile

Practice address

6720 Grejot Road
Mobile, AL 36695

Phone

(205) 942-6820

NPI assigned

Aug 17, 2020

Organization subpart

No

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

Authorized official

Name

Yolanda Davison

Title

Director of Billing

Phone

(205) 942-6820

Specialties & licenses 1

Addresses

Other names 1

• Restore Outpatient Therapy of Mobile Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Restore Therapy Services, LTD

  • Physical Therapist
  • Huntsville, AL
  • NPI 1285094888

  Member Of

  NPD member

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597622400000",
    "number": "1205447836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 CAHABA VALLEY PKWY STE 200",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351242217",
            "telephone_number": "205-942-6820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6720 GREJOT ROAD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36695",
            "telephone_number": "205-942-6820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE THERAPY SERVICES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-17",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A",
        "authorized_official_last_name": "DAVISON",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "205-942-6820"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restore Outpatient Therapy of Mobile",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christine Reno, LICSW
• Edmond J Restivo Jr., C.P.O.
• Restoration Counseling of South Alabama, LLC
• Restorative Prosthetics & Orthotics LLC
• Restore Counseling and Consulting, LLC
• Restored Hope Counseling, LLC
• Kenneth R. Rettig, MD
• Tim S. Revels, MD
• Cherie L. Revere, CRNP
• Vamshi Raman Revuri, MD

• Physical Therapist in Mobile, AL
• Providers in Mobile, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.