Restore Plus Physical Therapy & Rehabilitation PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

024790-1 Issued in NY

Legal business name

RESTORE PLUS PHYSICAL THERAPY & REHABILITATION PLLC

Practice address

3310 Queens Blvd
Suite 301
Long Island City, NY 11101-2302

Phone

(800) 905-0513

Fax

(347) 536-3955

NPI assigned

Jan 17, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Reginald Tiu, P.T.NPI 1023105921

Title

Ceo

Phone

(800) 905-0513

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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.

• Reginald Lao Tiu, P.T.

  • Physical Therapist
  • Long Island City, NY
  • NPI 1023105921
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369526400000",
    "number": "1306184833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 QUEENS BLVD",
            "address_2": "SUITE 301",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111012302",
            "telephone_number": "800-905-0513",
            "fax_number": "347-536-3955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 QUEENS BLVD",
            "address_2": "SUITE 301",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111012302",
            "telephone_number": "800-905-0513",
            "fax_number": "347-536-3955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE PLUS PHYSICAL THERAPY & REHABILITATION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-17",
        "last_updated": "2013-05-26",
        "status": "A",
        "authorized_official_last_name": "TIU",
        "authorized_official_first_name": "REGINALD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-905-0513",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "024790-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Long Island City, NY
• Providers in Long Island City, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2013; 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.