Restore Pelvic Health & Rehab LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

RESTORE PELVIC HEALTH & REHAB LLC

Practice address

301 E Yamato Rd Ste 1240
Boca Raton, FL 33431-4931

Phone

(914) 447-1792

NPI assigned

Nov 3, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Victoria Mallow, PT, DPT

Title

Owner/Physical Therapist

Phone

(914) 447-1792

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604361600000",
    "number": "1356942742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7641 NE MORNINGSIDE TER",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334871726",
            "telephone_number": "914-447-1792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E YAMATO RD STE 1240",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314931",
            "telephone_number": "914-447-1792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE PELVIC HEALTH & REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-03",
        "last_updated": "2020-11-03",
        "certification_date": "2020-10-30",
        "status": "A",
        "authorized_official_last_name": "MALLOW",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "914-447-1792",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.