Organization Active NPI

Restore Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Vinton, VA
National Provider Identifier
1720756158
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
RESTORE PHYSICAL THERAPY LLC
Practice address
2125 E Washington Ave Ste C
Vinton, VA 24179-4601
Phone
(540) 647-8331
Fax
(540) 491-9737
NPI assigned
Aug 31, 2021
Last updated
Jul 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Authorized official

Name
Rorie Saddhra, PTNPI 1003001983
Title
Physical Therapist
Phone
(540) 467-5789

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X

Addresses

Primary practice location

2125 E Washington Ave Ste C
Vinton, VA 24179-4601

Mailing address

2125 E Washington Ave Ste C
Vinton, VA 24179-4601
Phone (540) 647-8331

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211011003061 VA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5698173318 Receives reassigned benefits from 2 practitioners
Practice locations: Vinton, VA

National Provider Directory

National Provider Directory

Locations

1337 Hardy Rd
Ste 10
Vinton, VA 24179
Phone (540) 647-8331

2125 E Washington Ave
Vinton, VA 24179
Phone (540) 467-5789

2125 E Washington Ave
Ste C
Vinton, VA 24179
Phone (540) 647-8331

Practitioners & affiliated clinicians

Practitioners 5

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": "1630368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688515200000",
    "number": "1720756158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 E WASHINGTON AVE STE C",
            "city": "VINTON",
            "state": "VA",
            "postal_code": "241794601",
            "telephone_number": "540-647-8331",
            "fax_number": "540-491-9737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 E WASHINGTON AVE STE C",
            "city": "VINTON",
            "state": "VA",
            "postal_code": "241794601",
            "telephone_number": "540-647-8331",
            "fax_number": "540-491-9737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-31",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A",
        "authorized_official_last_name": "SADDHRA",
        "authorized_official_first_name": "RORIE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "540-467-5789",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vinton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; 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.