Organization Active NPI

Restore Therapy Services, LTD

Doing business as The Bluffs

  • Physical Therapist
  • Birmingham, AL
National Provider Identifier
1295347789
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
RESTORE THERAPY SERVICES, LTD
Doing business as
The Bluffs
Practice address
6328 Farley Lane
Birmingham, AL 35242
Phone
(205) 942-6820
NPI assigned
Aug 18, 2020
Last updated
Aug 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

6328 Farley Lane
Birmingham, AL 35242

Mailing address

245 Cahaba Valley Pkwy Ste 200
Pelham, AL 35124-2217
Phone (205) 942-6820

Other names 1

  • The Bluffs Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295347789. Details of each certification follow.

  • CCN 016650 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 016650

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
RESTORE OUTPATIENT AT THE BLUFFS
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Feb 22, 2021
Last certification
Feb 10, 2021
Ownership / control type
Proprietary
Facility address
6328 Farley Lane
Birmingham, AL 35242

National Provider Directory

National Provider Directory

Locations

308 Park Plz
Clanton, AL 35045
Phone (205) 301-5850

1000 Highway 33
Double Springs, AL 35553
Phone (205) 489-2136

40890 Al Hwy 69
Moundville, AL 35474
Phone (205) 314-7227

39546 AL Highway 69
Bldg B
Moundville, AL 35474
Phone (205) 450-9114

601 Peter Bryce Blvd
Tuscaloosa, AL 35401
Phone (205) 314-7227

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597708800000",
    "number": "1295347789",
    "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": "6328 FARLEY LANE",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35242",
            "telephone_number": "205-942-6820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE THERAPY SERVICES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "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": "The Bluffs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.