Restoration Physiotherapy, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

P9151 Issued in NC

Legal business name

RESTORATION PHYSIOTHERAPY, INC.

Practice address

3626 Latrobe Dr
Charlotte, NC 28211-1388

Phone

(704) 654-9838

NPI assigned

Oct 30, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Samuel McKelvey, PT

Title

Owner

Phone

(704) 654-9838

Specialties & licenses 1

Addresses

Other names 1

• Restore Testing Other name

Practitioners 1

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

• Sam McKelvey, PT

  • Physical Therapist
  • Charlotte, NC
  • NPI 1902861313
  NPD (past)

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

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351555200000",
    "number": "1447504485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 PORT ROYAL DR",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281051573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3626 LATROBE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111388",
            "telephone_number": "704-654-9838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION PHYSIOTHERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-30",
        "last_updated": "2012-10-30",
        "status": "A",
        "authorized_official_last_name": "MCKELVEY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-654-9838",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NC",
            "license": "P9151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restore Testing",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Emily Anne Restler, MD, MPH
• Wilma Resto, M.D.
• Restoration Consulting LLC
• Restoration Counseling Center - Access
• Restoration Path Solutions LLC
• Restorative Care
• Restorative Minds, PLLC
• Restorative Support Services,Inc
• Restore Chiropractic PLLC
• Restore Healthcare Medical Group

• Physical Therapy Clinic/Center in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Physical Therapy Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; 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.