Organization Active NPI

Restorative Therapies, Inc

  • Durable Medical Equipment & Medical Supplies
  • Nottingham, MD
National Provider Identifier
1699868349
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
RESTORATIVE THERAPIES, INC
Practice address
8098 Sandpiper Cir Ste M
Nottingham, MD 21236-4928
Phone
(800) 609-9166
Fax
(410) 878-2466
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Authorized official

Name
Jim Janicki
Title
Ceo
Phone
(800) 609-9166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

8098 Sandpiper Cir Ste M
Nottingham, MD 21236-4928

Mailing address

8098 Sandpiper Cir Ste M
Nottingham, MD 21236-4928
Phone (800) 609-9166

Other identifiers 7

IdentifierTypeStateIssuer
-----------------MedicaidAZ
....................OtherDEPARTMENT OF VETERANS AFFAIRS - CONTRACT AWARDED
....................MedicaidOR
....................MedicaidIL
....................OtherMDMARYLAND RESIDENTIAL SERVICE AGENCY LICENSE FOR DURABLE MEDICAL EQUIPMENT
....................MedicaidVA
....................MedicaidNM

National Provider Directory

National Provider Directory

Locations

1434 Fleet St
Baltimore, MD 21231

8098 Sandpiper Cir
Ste M
Nottingham, MD 21236
Phone (800) 609-9166

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663286400000",
    "number": "1699868349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8098 SANDPIPER CIR STE M",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212364928",
            "telephone_number": "800-609-9166",
            "fax_number": "443-835-4947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8098 SANDPIPER CIR STE M",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212364928",
            "telephone_number": "800-609-9166",
            "fax_number": "410-878-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATIVE THERAPIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A",
        "authorized_official_last_name": "JANICKI",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-609-9166"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "-----------------",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF VETERANS AFFAIRS - CONTRACT AWARDED",
            "identifier": "....................",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "....................",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "....................",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND RESIDENTIAL SERVICE AGENCY LICENSE FOR DURABLE MEDICAL EQUIPMENT",
            "identifier": "....................",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "....................",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "....................",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nottingham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; 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.