NPIMap

Organization Active NPI

Restore Therapy Services, LTD.

  • Physical Therapist
  • Moundville, AL
National Provider Identifier
1730655846
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
RESTORE THERAPY SERVICES, LTD.
Practice address
40890 Alabama Highway 69
Moundville, AL 35474
Phone
(205) 314-7227
NPI assigned
Oct 16, 2018
Organization subpart
Yes
Parent organization
RESTORE THERAPY SERVICES, LTD.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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

Authorized official

Name
Yolanda Davison
Title
Billing Director
Phone
(205) 942-6820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

40890 Alabama Highway 69
Moundville, AL 35474

Mailing address

245 Cahaba Valley Pkwy Ste 200
Pelham, AL 35124-2217
Phone (205) 942-6820

Other names 1

  • Restore Outpatient of Moundville Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190131002587 AL Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 1951210061 Practice locations: Moundville, AL

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Restore Florala13 organizations share this tax ID, including this one
Part of
Restore Florala

Other organizations with this tax ID 12

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

Locations

40890 Alabama Hwy 69
Moundville, AL 35474
Phone (205) 314-7227

NPI Registry JSON

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597276800000",
    "number": "1730655846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 CAHABA VALLEY PKWY STE 200",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351242217",
            "telephone_number": "205-942-6820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40890 ALABAMA HIGHWAY 69",
            "city": "MOUNDVILLE",
            "state": "AL",
            "postal_code": "35474",
            "telephone_number": "205-314-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE THERAPY SERVICES, LTD.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RESTORE THERAPY SERVICES, LTD.",
        "enumeration_date": "2018-10-16",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A",
        "authorized_official_last_name": "DAVISON",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "205-942-6820"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restore Outpatient of Moundville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moundville, AL

Sources for this page

  • 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.
  • 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.