Restore to Wellness Physical Therapy, P.C.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

RESTORE TO WELLNESS PHYSICAL THERAPY, P.C.

Practice address

323 Union Ave
Rutherford, NJ 07070-1517

Phone

(862) 368-2109

NPI assigned

Sep 19, 2018

Organization subpart

No

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

Authorized official

Name

Alicia JohnNPI 1760329924

Title

Vice President

Phone

(862) 368-2109

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 6

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

• Melanie Buhian, P.T.

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1770726846

  NJ

  Medicare reassignment NPD
• Alicia John, PTA

  • Physical Therapy Assistant
  • Garden City, NY
  • NPI 1760329924
  NPD Authorized official
• Michael Joseph Cooney, DC

  • Chiropractor
  • Rutherford, NJ
  • NPI 1205963618
  NPD
• Octavio Federico Delasobera, MD

  • Physical Medicine & Rehabilitation Physician
  • Rutherford, NJ
  • NPI 1902910805
  NPD (past)
• Robert B Kelly, D.O.

  • Interventional Pain Medicine Physician
  • Forked River, NJ
  • NPI 1922202738
  NPD (past)
• Noel C Nowicki, MD

  • Internal Medicine Physician
  • Montclair, NJ
  • NPI 1649295932
  NPD (past)

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537315200000",
    "number": "1508340290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 PENNSYLVANIA AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072011213",
            "telephone_number": "862-368-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 UNION AVE",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070701517",
            "telephone_number": "862-368-2109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE TO WELLNESS PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-19",
        "last_updated": "2018-09-19",
        "status": "A",
        "authorized_official_last_name": "JOHN",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "862-368-2109"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Preethi Venugopal Ramaswamy, M.D
• Paul R. Reichert, PT
• Mary Reilly, LPC
• Renewed Therapy Arts
• Rachel Mahoney Rengifo, PH.D.
• Rhee Plastic Surgery LLC
• Samuel T. Rhee, M.D.
• Maria Magdalena Rincon-Lorenzo, DDS
• Silvana Lourdes Rivas, FNP
• Riverside Surgical Center of Meadowlands, LLC

• Physical Therapy Clinic/Center in Rutherford, NJ
• Providers in Rutherford, NJ by specialty
• Physical Therapy Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.

Verify at the official NPI Registry.