Organization Active NPI

Restoration Physical Therapy LLC

  • Physical Therapist
  • Kaysville, UT
National Provider Identifier
1407196504
Registry record updated Jan 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
RESTORATION PHYSICAL THERAPY LLC
Practice address
47 Crestwood Rd Ste 2B
Kaysville, UT 84037-1445
Phone
(801) 444-3440
Fax
(801) 444-3413
NPI assigned
Feb 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2018

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

Authorized official

Name
Adam Morris, PTNPI 1427140342
Title
Owner
Phone
(801) 549-7352

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

47 Crestwood Rd Ste 2B
Kaysville, UT 84037-1445

Mailing address

47 Crestwood Rd Ste 2B
Kaysville, UT 84037-1445
Phone (801) 444-3440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130322000125 UT Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4385889393 Receives reassigned benefits from 1 practitioner
Practice locations: Kaysville, UT

National Provider Directory

National Provider Directory

Locations

47 Crestwood Rd
Ste 2B
Kaysville, UT 84037
Phone (801) 444-3440

347 N 300 W
Ste 202
Kaysville, UT 84037
Phone (801) 444-3440

Practitioners & affiliated clinicians

Practitioners 1

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": "1361836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515542400000",
    "number": "1407196504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 CRESTWOOD RD STE 2B",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840371445",
            "telephone_number": "801-444-3440",
            "fax_number": "801-444-3413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 CRESTWOOD RD STE 2B",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840371445",
            "telephone_number": "801-444-3440",
            "fax_number": "801-444-3413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-26",
        "last_updated": "2018-01-10",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-549-7352",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaysville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.