Athlete Restoration Company, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ATHLETE RESTORATION COMPANY, LLC

Practice address

512 Evernia St Ste 103
West Palm Beach, FL 33401-5702

Phone

(561) 899-8725

NPI assigned

Jan 31, 2020

Last updated

Jan 31, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kyle J Volstad, PTNPI 1588139513

Title

Owner/Manager/Founder

Phone

(561) 899-8725

Specialties & licenses 1

Addresses

Electronic endpoints 3

Locations

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.

• Kyle Jamieson Volstad, PT, DPT

  • Physical Therapist
  • Palm Beach Gardens, FL
  • NPI 1588139513
  NPD Authorized official

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

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580428800000",
    "number": "1508497215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11899 BAYBERRY ST",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102107",
            "telephone_number": "561-814-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 EVERNIA ST STE 103",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334015702",
            "telephone_number": "561-899-8725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHLETE RESTORATION COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-31",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A",
        "authorized_official_last_name": "VOLSTAD",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/MANAGER/FOUNDER",
        "authorized_official_telephone_number": "561-899-8725",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kyle@athleterc.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA compliant G-suite email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "512 Evernia St Ste 103",
            "city": "West Palm Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334015702",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kyle@athleterc.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA compliant G-suite email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "512 Evernia St Ste 103",
            "city": "West Palm Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334015702",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kyle@athleterc.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA compliant G-suite email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "512 Evernia St Ste 103",
            "city": "West Palm Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334015702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Physical Therapist in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.