Restorative Physical Therapy & Core Wellness Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

RESTORATIVE PHYSICAL THERAPY & CORE WELLNESS INC

Practice address

1795 Alysheba Way Ste 5103
Lexington, KY 40509-2473

Phone

(859) 309-1766

Fax

(859) 309-1854

NPI assigned

Dec 21, 2020

Last updated

Dec 21, 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

Tiffany Marie Hamilton, PT

Title

Owner

Phone

(859) 309-1766

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608508800000",
    "number": "1568058824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1795 ALYSHEBA WAY STE 5103",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092473",
            "telephone_number": "859-309-1766",
            "fax_number": "859-309-1854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1795 ALYSHEBA WAY STE 5103",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092473",
            "telephone_number": "859-309-1766",
            "fax_number": "859-309-1854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATIVE PHYSICAL THERAPY & CORE WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-21",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-309-1766",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tana Lynn Repella, M.D., PH.D.
• Katherine Elaine Resinger, M.S., CCC-SLP
• Resource Anesthesiology Associates of Ky PSC
• Respect Mental Healthcare LLC
• Restorative Oxygen Care, LLC
• Restorative Wellness Clinic (Omni Health)
• Restore 35
• Restore Health Ky Inc
• Resurgence Counseling Center, LLC
• Resurrection Treatment Clinics LLC

• Clinic/Center in Lexington, KY
• Providers in Lexington, KY by specialty
• Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.