Organization Active NPI

Restorative Prosthetics & Orthotics

  • Prosthetic/Orthotic Supplier
  • Slidell, LA
National Provider Identifier
1356504104
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
RESTORATIVE PROSTHETICS & ORTHOTICS
Practice address
168 Commercial SQ
Slidell, LA 70461-5418
Phone
(989) 726-9052
NPI assigned
Jul 2, 2008
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Edmond J Restivo Jr., C.P.O.
Title
Practice Manager
Phone
(985) 726-9052

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

168 Commercial SQ
Slidell, LA 70461-5418

Mailing address

168 Commercial SQ
Slidell, LA 70461-5418
Phone (985) 726-9052

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

28080 US Highway 98
Ste G
Daphne, AL 36526
Phone (251) 660-4075

921 Lakeside Dr
Mobile, AL 36693
Phone (251) 654-6012

168 Commercial Sq
Slidell, LA 70461
Phone (504) 475-3338

Practitioners & affiliated clinicians

Practitioners 2

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": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1356504104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 COMMERCIAL SQ",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704615418",
            "telephone_number": "985-726-9052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 COMMERCIAL SQ",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704615418",
            "telephone_number": "989-726-9052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATIVE PROSTHETICS & ORTHOTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "RESTIVO",
        "authorized_official_first_name": "EDMOND",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "985-726-9052",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "C.P.O."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.