Organization Active NPI

Restore Movement Physical Therapy

  • Physical Therapist
  • Wildwood, MO
National Provider Identifier
1447908785
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
RESTORE MOVEMENT PHYSICAL THERAPY
Practice address
16782 Babler View Dr
Wildwood, MO 63011-1817
Phone
(314) 302-6232
NPI assigned
Mar 15, 2022
Last updated
Mar 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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

Authorized official

Name
Dr. Rachael Grace Macgregor, DPT, DMT, FAAOMPTNPI 1053840363
Title
Owner
Phone
(314) 302-6232

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 Therapist 225100000X NU Primary

Addresses

Primary practice location

16782 Babler View Dr
Wildwood, MO 63011-1817

Mailing address

PO Box 36
Wildwood, MO 63038-0036
Phone (314) 302-6232

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220512001483 MO Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1456738442 Receives reassigned benefits from 4 practitioners
Practice locations: Wildwood, MO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1647302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647302400000",
    "number": "1447908785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36",
            "city": "WILDWOOD",
            "state": "MO",
            "postal_code": "630380036",
            "telephone_number": "314-302-6232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16782 BABLER VIEW DR",
            "city": "WILDWOOD",
            "state": "MO",
            "postal_code": "630111817",
            "telephone_number": "314-302-6232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE MOVEMENT PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A",
        "authorized_official_last_name": "MACGREGOR",
        "authorized_official_first_name": "RACHAEL",
        "authorized_official_middle_name": "GRACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-302-6232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT, DMT, FAAOMPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wildwood, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.