Organization Active NPI

Restorative Therapy Specialists, PLLC

  • Neurology Physical Therapist
  • Yakima, WA
National Provider Identifier
1487077145
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology Physical TherapistTaxonomy code 2251N0400X
License
00006243 Issued in WA
Legal business name
RESTORATIVE THERAPY SPECIALISTS, PLLC
Practice address
1608 S 24TH Ave
Suite 100
Yakima, WA 98902-5719
Phone
(509) 388-2270
Fax
(509) 320-4109
NPI assigned
Jan 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2015

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

Authorized official

Name
Thomas Longbottom, PT, DPT, NCS
Title
Member
Phone
(509) 388-2270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251N0400X 00006243 WA Primary

Addresses

Primary practice location

1608 S 24TH Ave
Suite 100
Yakima, WA 98902-5719

Mailing address

1608 S 24TH Ave
Suite 100
Yakima, WA 98902-5719
Phone (509) 388-2270

Other identifiers 1

IdentifierTypeStateIssuer
1811251861OtherINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

1608 S 24th Ave
Ste 100
Yakima, WA 98902
Phone (509) 388-2270

NPI Registry JSON

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

{
    "created_epoch": "1391040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425945600000",
    "number": "1487077145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 S 24TH AVE",
            "address_2": "SUITE 100",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989025719",
            "telephone_number": "509-388-2270",
            "fax_number": "509-320-4109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 S 24TH AVE",
            "address_2": "SUITE 100",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989025719",
            "telephone_number": "509-388-2270",
            "fax_number": "509-320-4109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATIVE THERAPY SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-30",
        "last_updated": "2015-03-10",
        "status": "A",
        "authorized_official_last_name": "LONGBOTTOM",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "509-388-2270",
        "authorized_official_credential": "PT, DPT, NCS"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Neurology",
            "state": "WA",
            "license": "00006243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1811251861",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; 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.