Restorative Technology Rehabilitation LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

RESTORATIVE TECHNOLOGY REHABILITATION LLC

Practice address

4015 14TH Ave
Brooklyn, NY 11218-3507

Phone

(732) 994-8019

NPI assigned

Mar 5, 2019

Organization subpart

No

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

Authorized official

Name

Etty TerebeloNPI 1720467921

Title

Owner

Phone

(732) 994-8019

Specialties & licenses 2

Addresses

Practitioners 1

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

• Etty Terebelo

  • Occupational Therapist
  • Lakewood, NJ
  • NPI 1720467921
  NPD (past) Authorized official

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551744000000",
    "number": "1295293678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 14TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112183507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 14TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112183507",
            "telephone_number": "732-994-8019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATIVE TECHNOLOGY REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-05",
        "last_updated": "2019-03-05",
        "status": "A",
        "authorized_official_last_name": "TEREBELO",
        "authorized_official_first_name": "ETTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-994-8019"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Prosthetic/Orthotic Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; 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.