Restoracare, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

RESTORACARE, INC.

Doing business as

At Home Med Rehab

Practice address

6303 E Mallory St
Mesa, AZ 85215-2114

Phone

(602) 619-8582

Fax

(480) 654-0054

NPI assigned

May 26, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Lance Phillip Van Arsdell, P.T.NPI 1710933361

Title

President

Phone

(602) 619-8582

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• At Home Med Rehab Doing business as

Locations

Practitioners 2

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

• Lance Phillip Van Arsdell, P.T.

  • Physical Therapist
  • Mesa, AZ
  • NPI 1710933361
  NPD (past) Authorized official
• Louis J Rigrish, P.T.

  • Physical Therapist
  • Mesa, AZ
  • NPI 1265676522
  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246924800000",
    "number": "1578519062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 E MCKELLIPS RD # 109-321",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852152700",
            "telephone_number": "602-619-8582",
            "fax_number": "480-654-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6303 E MALLORY ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852152114",
            "telephone_number": "602-619-8582",
            "fax_number": "480-654-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORACARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2009-07-07",
        "status": "A",
        "authorized_official_last_name": "VAN ARSDELL",
        "authorized_official_first_name": "LANCE",
        "authorized_official_middle_name": "PHILLIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-619-8582",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PT AND OT BILLING #",
            "identifier": "AZ0460670",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "726052",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "At Home Med Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Margaret Restuccia
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• Physical Therapist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2009; 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.