Restore Therapy Services of Florida LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

RESTORE THERAPY SERVICES OF FLORIDA LLC

Practice address

113 W Chipola Ave
Deland, FL 32720-7512

Phone

(800) 379-0309

NPI assigned

Dec 12, 2017

Organization subpart

Yes

Parent organization

RESTORE THERAPY SERVICES OF FLORIDA LLCAs reported in NPPES

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

Authorized official

Name

Debbie Knowles Culpepper

Title

Administrator

Phone

(205) 941-6820

Specialties & licenses 4

Addresses

Other names 1

• Restore Outpatient of Central Florida Doing business as

Part of

Restore Therapy Services of Florida LLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Restore Therapy Services of Florida LLC

  • Rehabilitation Clinic/Center
  • Daytona Beach, FL
  • NPI 1801094172
  NPPES parent name

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

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597276800000",
    "number": "1669987798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 CAHABA VALLEY PKWY",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351242216",
            "telephone_number": "205-942-6820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 W CHIPOLA AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327207512",
            "telephone_number": "800-379-0309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE THERAPY SERVICES OF FLORIDA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RESTORE THERAPY SERVICES OF FLORIDA LLC",
        "enumeration_date": "2017-12-12",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A",
        "authorized_official_last_name": "CULPEPPER",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "KNOWLES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "205-941-6820"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restore Outpatient of Central Florida",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapist in Deland, FL
• Providers in Deland, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.