Restore Vascular PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

RESTORE VASCULAR PLLC

Practice address

10240 W Bell Rd
Sun City, AZ 85351-1153

Phone

(480) 442-3990

NPI assigned

Jan 14, 2025

Organization subpart

Yes

Parent organization

RESTORE VASCULAR PLLC DBA RESTORE WELLNESS CENTERAs reported in NPPES

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

Authorized official

Name

Nathan Ian Weller

Title

Owner

Phone

(480) 874-6808

Specialties & licenses 2

Addresses

Tax ID family

Restore Vascular PLLC2 organizations share this tax ID, including this one

Part of

Restore Vascular PLLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Restore Vascular PLLC

  • Clinic/Center
  • Scottsdale, AZ
  • NPI 1518774553
  NPD tax ID

Locations

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

{
    "created_epoch": "1736812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1679384358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10240 W BELL RD",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853511153",
            "telephone_number": "480-442-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10240 W BELL RD",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853511153",
            "telephone_number": "480-442-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE VASCULAR PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RESTORE VASCULAR PLLC DBA RESTORE WELLNESS CENTER",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "WELLER",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "IAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-874-6808"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Medicine & Rehabilitation Physician in Sun City, AZ
• Providers in Sun City, AZ by specialty
• Physical Medicine & Rehabilitation Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.