Restoration Body Works Wellness and Physical Therapy, PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

RESTORATION BODY WORKS WELLNESS AND PHYSICAL THERAPY, PLLC

Practice address

710 N Beaver St BLDG 6
Flagstaff, AZ 86001-3148

Phone

(928) 213-9730

Fax

(928) 213-9732

NPI assigned

Feb 23, 2021

Organization subpart

No

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

Authorized official

Name

Elvia Cuevas

Title

Office Manager

Phone

(928) 213-9730

Specialties & licenses 1

Addresses

Locations

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.

• Megan Dary Von Gerichten, DPT

  • Physical Therapist
  • Flagstaff, AZ
  • NPI 1568987733
  NPD
• James Michael Wittekind, P.T., D.P.T.

  • Physical Therapist
  • Flagstaff, AZ
  • NPI 1992005045
  NPD

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

{
    "created_epoch": "1614038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614038400000",
    "number": "1457945206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 N BEAVER ST BLDG 6",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013148",
            "telephone_number": "928-213-9730",
            "fax_number": "928-213-9732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 N BEAVER ST BLDG 6",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013148",
            "telephone_number": "928-213-9730",
            "fax_number": "928-213-9732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION BODY WORKS WELLNESS AND PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-23",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-16",
        "status": "A",
        "authorized_official_last_name": "CUEVAS",
        "authorized_official_first_name": "ELVIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "928-213-9730"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garrett Beau Reilly, PT
• Reliable Diagnostic Laboratory LLC
• Reliant Senior Living LLC (Living Rehab)
• Jamie Lee Resnick, MD
• Resonance Sonography LLC
• Restoration Body Works Wellness and Physical Therapy, PLLC
• Retail Automation USA LLC (Munderloh Chiropractic)
• Revitalize Ketamine Clinic LLC
• Cassandra Jean Reynolds, RD
• Kali Reynolds, BS SLPA

• Physical Therapist in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; 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.