Active NPI
Restoration Rehabilitation Inc
- Physical Therapist
- Rochester, WA
National Provider Identifier
1508196502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00003851
- Legal business name
- RESTORATION REHABILITATION INC
- Practice address
- 10119 Highway 12 SW
Rochester, WA 98579-8621 - Phone
- (360) 273-4747
- Fax
- (360) 273-4747
- NPI assigned
- Jan 13, 2010
- 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
- Lisa A Scheuffele, P.T.
- Title
- Owner/ President
- Phone
- (253) 549-5668
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00003851 | WA | Primary |
Addresses
Primary practice location
10119 Highway 12 SW
Rochester, WA 98579-8621
Mailing address
PO Box 306
Fox Island, WA 98333-0306
Phone (360) 273-4747
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7145766 | Medicaid | WA | |
| 2496SC | Other | WA | REGENCE BLUE SHIELD |
| 236625 | Other | WA | DEPARTMENT OF LABOR & INDUSTRIES |
Other names 1
- Restoration Rehabilitation
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
18328 Albany St SW
Rochester, WA 98579
Phone (360) 273-4747
10115 Highway 12 SW
Rochester, WA 98579
Practitioners & 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
- Fox Island, WA
- NPI 1730367368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263340800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1267574400000",
"number": "1508196502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 306",
"city": "FOX ISLAND",
"state": "WA",
"postal_code": "983330306",
"telephone_number": "360-273-4747",
"fax_number": "360-273-4747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10119 HIGHWAY 12 SW",
"city": "ROCHESTER",
"state": "WA",
"postal_code": "985798621",
"telephone_number": "360-273-4747",
"fax_number": "360-273-4747"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESTORATION REHABILITATION INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-13",
"last_updated": "2010-03-03",
"status": "A",
"authorized_official_last_name": "SCHEUFFELE",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER/ PRESIDENT",
"authorized_official_telephone_number": "253-549-5668",
"authorized_official_credential": "P.T."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00003851",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7145766",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "2496SC",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF LABOR & INDUSTRIES",
"identifier": "236625",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Restoration Rehabilitation",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rochester, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.