Organization Active NPI

Core Restore Nutrition and Wellness LLC

  • Nutritionist
  • Saratoga Springs, NY
National Provider Identifier
1497557185
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
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

Updated by the provider on Mar 25, 2025

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

Authorized official

Name
Sara Brown, CNS, DPTNPI 1346889821
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)CodeLicenseStatePrimary
NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133N00000X Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.