NPIMap

Organization Active NPI

Restore Florala

  • Physical Therapist
  • Florala, AL
National Provider Identifier
1346601630
Registry record updated Mar 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
RESTORE FLORALA
Practice address
23621 Goldenrod Ave
Florala, AL 36442-3652
Phone
(205) 942-6820
NPI assigned
Mar 14, 2016
Last updated
Mar 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2016

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

Authorized official

Name
Debbie B Knowles
Title
Administrator
Phone
(205) 942-6820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

23621 Goldenrod Ave
Florala, AL 36442-3652

Mailing address

245 Cahaba Valley Pkwy
Pelham, AL 35124-2216

Other identifiers 2

IdentifierTypeStateIssuer
011220OtherALBCBS
11968OtherALAL STATE BORAD OF HEALTH

National Provider Directory

National Provider Directory
Tax ID family
Restore Florala13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1457913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457913600000",
    "number": "1346601630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 CAHABA VALLEY PKWY",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351242216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23621 GOLDENROD AVE",
            "city": "FLORALA",
            "state": "AL",
            "postal_code": "364423652",
            "telephone_number": "205-942-6820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE FLORALA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-14",
        "last_updated": "2016-03-14",
        "status": "A",
        "authorized_official_last_name": "KNOWLES",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "205-942-6820"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "011220",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AL STATE BORAD OF HEALTH",
            "identifier": "11968",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florala, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; 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.