Organization Active NPI

Restoration Physical Therapy Inc.

  • Physical Therapist
  • Rutland, VT
National Provider Identifier
1497763742
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
RESTORATION PHYSICAL THERAPY INC.
Practice address
79 Center St
Suite 5
Rutland, VT 05701-4061
Phone
(802) 775-5052
Fax
(802) 775-5284
NPI assigned
Aug 3, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. David Nowick
Title
President
Phone
(802) 775-5052

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X VT Primary

Addresses

Primary practice location

79 Center St
Suite 5
Rutland, VT 05701-4061

Mailing address

79 Center St
Suite 5
Rutland, VT 05701-4061
Phone (802) 775-5052

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497763742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 CENTER ST",
            "address_2": "SUITE 5",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014061",
            "telephone_number": "802-775-5052",
            "fax_number": "802-775-5284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 CENTER ST",
            "address_2": "SUITE 5",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014061",
            "telephone_number": "802-775-5052",
            "fax_number": "802-775-5284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NOWICK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "802-775-5052",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutland, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.