Restoration Spine and Wellness LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

RESTORATION SPINE AND WELLNESS LLC

Practice address

120 W Germantown Pike Ste 210
Plymouth Meeting, PA 19462-1420

Phone

(610) 828-9634

Fax

(610) 828-9762

NPI assigned

Jan 18, 2019

Last updated

Jan 18, 2019By 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

Anthony Memmo, DCNPI 1497116446

Title

Owner

Phone

(610) 547-6844

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 2

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.

• Anthony Nicholas Memmo, D.C.

  • Chiropractor
  • Naples, FL
  • NPI 1497116446

  PA

  Medicare reassignment Authorized official
• Veronica Patricia Collings, D.C.

  • Chiropractor
  • Surfside Beach, SC
  • NPI 1659335248
  NPD

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

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547769600000",
    "number": "1518431998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W GERMANTOWN PIKE STE 210",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621420",
            "telephone_number": "610-828-9634",
            "fax_number": "610-828-9762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W GERMANTOWN PIKE STE 210",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621420",
            "telephone_number": "610-828-9634",
            "fax_number": "610-828-9762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION SPINE AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-18",
        "last_updated": "2019-01-18",
        "status": "A",
        "authorized_official_last_name": "MEMMO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-547-6844",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherian Renner
• Debra Reppert, LPN
• Stacey Repsher, LPN
• Resources for Human Development
• Resources for Human Development
• Restore First Health Penn
• Debra L Ret, PT
• Retinovitreous Associates LTD
• Lakeshia Reveron
• Elizabeth Rewilak

• Chiropractor in Plymouth Meeting, PA
• Providers in Plymouth Meeting, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; 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.