Active NPI
Core Restore Nutrition and Wellness LLC
- Nutritionist
- Saratoga Springs, NY
National Provider Identifier
1497557185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- Legal business name
- CORE RESTORE NUTRITION AND WELLNESS LLC
- Practice address
- 79 Lake Ave Apt 1
Saratoga Springs, NY 12866-2474 - Phone
- (518) 332-2738
- NPI assigned
- Mar 25, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sara Brown, CNS, DPT
- Title
- Certified Nutrition Specialist
- Phone
- (518) 332-2738
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | Primary | ||
| Physical Therapist | 225100000X |
Addresses
Primary practice location
79 Lake Ave Apt 1
Saratoga Springs, NY 12866-2474
Mailing address
79 Lake Ave Apt 1
Saratoga Springs, NY 12866-2474
Phone (518) 332-2738
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Rochester, NY
- NPI 1346889821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742860800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742860800000",
"number": "1497557185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79 LAKE AVE APT 1",
"city": "SARATOGA SPRINGS",
"state": "NY",
"postal_code": "128662474",
"telephone_number": "518-332-2738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "79 LAKE AVE APT 1",
"city": "SARATOGA SPRINGS",
"state": "NY",
"postal_code": "128662474",
"telephone_number": "518-332-2738"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORE RESTORE NUTRITION AND WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-25",
"last_updated": "2025-03-25",
"certification_date": "2025-03-25",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "SARA",
"authorized_official_title_or_position": "CERTIFIED NUTRITION SPECIALIST",
"authorized_official_telephone_number": "518-332-2738",
"authorized_official_credential": "CNS, DPT"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saratoga Springs, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.