NPIMap

Organization Active NPI

Restore Physical Therapy and Pelvic Health, LLC

  • Physical Therapy Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1306502331
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
RESTORE PHYSICAL THERAPY AND PELVIC HEALTH, LLC
Practice address
123 Leverington Ave
Philadelphia, PA 19127-2003
Phone
(267) 209-0930
NPI assigned
Nov 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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

Authorized official

Name
Victoria ClementNPI 1821583022
Title
Owner, Clinician
Phone
(814) 599-7949

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

123 Leverington Ave
Philadelphia, PA 19127-2003

Mailing address

1302 Coventry Pointe LN
Pottstown, PA 19465-7485

Other names 1

  • Restore Physical Therapy and Pelvic Health Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL vclement@restorethefloorpt.com

National Provider Directory

National Provider Directory

Locations

123 Leverington Ave
Philadelphia, PA 19127
Phone (267) 209-0930

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1636934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636934400000",
    "number": "1306502331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 COVENTRY POINTE LN",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194657485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 LEVERINGTON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191272003",
            "telephone_number": "267-209-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE PHYSICAL THERAPY AND PELVIC HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-15",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A",
        "authorized_official_last_name": "CLEMENT",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "OWNER, CLINICIAN",
        "authorized_official_telephone_number": "814-599-7949"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "vclement@restorethefloorpt.com",
            "affiliation": "N",
            "address_1": "123 Leverington Ave",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191272003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Restore Physical Therapy and Pelvic Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; 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.