Restorative Spine LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

RESTORATIVE SPINE LLC

Practice address

11524 Zinfandel Ave NE
Albuquerque, NM 87122-7103

Phone

(505) 850-5619

NPI assigned

Dec 27, 2024

Organization subpart

No

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

Authorized official

Name

Heath Duffy

Title

President

Phone

(505) 850-5619

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1735257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735257600000",
    "number": "1467260117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11524 ZINFANDEL AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871227103",
            "telephone_number": "505-850-5619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11524 ZINFANDEL AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871227103",
            "telephone_number": "505-850-5619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATIVE SPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-27",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A",
        "authorized_official_last_name": "DUFFY",
        "authorized_official_first_name": "HEATH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-850-5619"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Micaela Resta
• Jade Resto
• Restoration Counseling and Consulting Services LLC
• Restoration of Movement, LLC
• Restorative Medical Massage Therapy
• Restore Medical Spa, LLC
• Maria Liliana Restrepo, CHW
• Adrian Samuel Reta, MD
• Czarina Cecilia Retana, MD
• Martin Retherford, D.O.M.

• Durable Medical Equipment & Medical Supplies in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Durable Medical Equipment & Medical Supplies in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; 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.