Active NPI
Restorative Health and Wellness, PLLC
- Physical Medicine & Rehabilitation Physician
- Austin, TX
National Provider Identifier
1659510428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- RESTORATIVE HEALTH AND WELLNESS, PLLC
- Practice address
- 823 Congress Ave Ste 150-518
Austin, TX 78701-2405 - Phone
- (888) 380-0988
- Fax
- (289) 236-3022
- NPI assigned
- Feb 18, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Darius N Clarke, MD
- Title
- Owner
- Phone
- (512) 937-9168
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary | ||
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | |||
| Psychiatry Physician | 2084P0800X | |||
| Geriatric Psychiatry Physician | 2084P0805X | |||
| Physician Assistant | 363A00000X | |||
| Nurse Practitioner | 363L00000X | |||
| Adult Health Nurse Practitioner | 363LA2200X | |||
| Family Nurse Practitioner | 363LF0000X | |||
| Gerontology Nurse Practitioner | 363LG0600X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
823 Congress Ave Ste 150-518
Austin, TX 78701-2405
Mailing address
2950 Buskirk Ave Ste 300
Walnut Creek, CA 94597-6900
Phone (888) 380-0988
Other names 1
- Lightyear Health
National Provider Directory
National Provider DirectoryLocations
823 Congress Ave
Ste 150518
Austin, TX 78701
Phone (818) 575-6351
1395 George Dieter Dr
Ste D
El Paso, TX 79936
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gerontology Nurse Practitioner
- Houston, TX
- NPI 1003588591
-
- Psychiatric/Mental Health Nurse Practitioner
- Austin, TX
- NPI 1992089940
Adult Health
-
- Gerontology Nurse Practitioner
- Cypress, TX
- NPI 1376620096
-
- Physical Medicine & Rehabilitation Physician
- El Paso, TX
- NPI 1710965934
-
- Family Nurse Practitioner
- El Paso, TX
- NPI 1902419294
-
- Clinical Social Worker
- San Diego, CA
- NPI 1518543990
-
- Psychiatric/Mental Health Nurse Practitioner
- Alexandria, LA
- NPI 1902321524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234915200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1638489600000",
"number": "1659510428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2950 BUSKIRK AVE STE 300",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945976900",
"telephone_number": "888-380-0988",
"fax_number": "289-236-3022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "823 CONGRESS AVE STE 150-518",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787012405",
"telephone_number": "888-380-0988",
"fax_number": "289-236-3022"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESTORATIVE HEALTH AND WELLNESS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-18",
"last_updated": "2021-12-03",
"certification_date": "2021-12-03",
"status": "A",
"authorized_official_last_name": "CLARKE",
"authorized_official_first_name": "DARIUS",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "512-937-9168",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
},
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0805X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lightyear Health",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.