Active NPI
Restore Muscle and Joint SL, LLC
- Multi-Specialty Clinic/Center
- Saint Louis, MO
National Provider Identifier
1497580393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- RESTORE MUSCLE AND JOINT SL, LLC
- Practice address
- 4225 Bayless Ave
Saint Louis, MO 63123-7513 - Phone
- (314) 544-5600
- NPI assigned
- Sep 3, 2024
- 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
- Dr. Kendra L Pearson, DC
- Title
- Owner
- Phone
- (816) 452-4488
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
4225 Bayless Ave
Saint Louis, MO 63123-7513
Mailing address
4119 NW Barry Rd
Kansas City, MO 64154-1100
Phone (816) 452-4488
Other names 1
- Restore Muscle and Joint
National Provider Directory
National Provider DirectoryLocations
4119 NW Barry Rd
Kansas City, MO 64154
Phone (816) 452-4488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725321600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725321600000",
"number": "1497580393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4119 NW BARRY RD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641541100",
"telephone_number": "816-452-4488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4225 BAYLESS AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631237513",
"telephone_number": "314-544-5600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESTORE MUSCLE AND JOINT SL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-03",
"last_updated": "2024-09-03",
"certification_date": "2024-09-03",
"status": "A",
"authorized_official_last_name": "PEARSON",
"authorized_official_first_name": "KENDRA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "816-452-4488",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Restore Muscle and Joint",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.