Organization Active NPI

Restore Physical Therapy Inc

  • Physical Therapist
  • Mars Hill, NC
National Provider Identifier
1578799219
Registry record updated Dec 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2225 Issued in NC
Legal business name
RESTORE PHYSICAL THERAPY INC
Practice address
105 Chestnut St
Suite B
Mars Hill, NC 28754-9602
Phone
(828) 692-6640
Fax
(828) 689-3089
NPI assigned
Jun 9, 2009
Last updated
Dec 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2016

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

Authorized official

Name
Ms. Sylvia S Rosburg, PTNPI 1790876936
Title
Owner
Phone
(828) 692-6640

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2225 NC Primary

Addresses

Primary practice location

105 Chestnut St
Suite B
Mars Hill, NC 28754-9602

Mailing address

94 Mountain Park Dr
Mars Hill, NC 28754-5500
Phone (828) 692-6640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090710000462 NC Part B Supplier - Clinic/Group Practice 3375695034 Receives reassigned benefits from 2 practitioners
Practice locations: Mars Hill, NC

National Provider Directory

National Provider Directory

Locations

185 Fletcher Academy Dr
Fletcher, NC 28732
Phone (828) 687-9046

1507 Haywood Rd
Ste E
Hendersonvlle, NC 28791
Phone (828) 697-1944

105 Chestnut St
#B
Mars Hill, NC 28754
Phone (828) 692-6640

105 Chestnut St
Ste B
Mars Hill, NC 28754
Phone (828) 692-6640

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480550400000",
    "number": "1578799219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 MOUNTAIN PARK DR",
            "city": "MARS HILL",
            "state": "NC",
            "postal_code": "287545500",
            "telephone_number": "828-692-6640",
            "fax_number": "828-689-3089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 CHESTNUT ST",
            "address_2": "SUITE B",
            "city": "MARS HILL",
            "state": "NC",
            "postal_code": "287549602",
            "telephone_number": "828-692-6640",
            "fax_number": "828-689-3089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-09",
        "last_updated": "2016-12-01",
        "status": "A",
        "authorized_official_last_name": "ROSBURG",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-692-6640",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "2225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mars Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; 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.