Restoration Rehab Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT1297 Issued in MS

Legal business name

RESTORATION REHAB INC

Practice address

6501 Dogwood View Pkwy
Suite C
Jackson, MS 39213-7857

Phone

(601) 366-6171

NPI assigned

Jun 19, 2006

Organization subpart

No

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

Authorized official

Name

Annie Sheron Burt, PTNPI 1669400909

Title

Owner

Phone

(601) 366-6171

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

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

• Annie S Burt, PT

  • Physical Therapist
  • Jackson, MS
  • NPI 1669400909
  NPD (past) Authorized official
• Joseph White

  • Emergency Medicine Physician
  • Hazlehurst, MS
  • NPI 1144261793
  NPD (past)

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346285673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 DOGWOOD VIEW PKWY",
            "address_2": "SUITE C",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392137857",
            "telephone_number": "601-366-6171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 DOGWOOD VIEW PKWY",
            "address_2": "SUITE C",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392137857",
            "telephone_number": "601-366-6171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURT",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_middle_name": "SHERON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-366-6171",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT1297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06229265",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EIN",
            "identifier": "64094670",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Resilience Home Care Services LLC
• Resilient Therapeutics LLC
• Resolution Counseling Services, PLLC
• Restoration Chiropractic Inc.
• Restoration Counseling Services, LLC
• Restore Counseling and Consulting Services
• Restore Health PLLC
• Hazan Retana, BA, PSYCHOLOGY
• Robert Kennedy Revere, DDS
• Jonathan Reves, D.O.

• Physical Therapist in Jackson, MS
• Providers in Jackson, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.