Active NPI
Restorative Therapeutics, LLC.
- Massage Therapist
- Durham, NC
National Provider Identifier
1730868415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Legal business name
- RESTORATIVE THERAPEUTICS, LLC.
- Practice address
- 14 Consultant PL Ste 250
Durham, NC 27707-6320 - Phone
- (919) 339-1835
- Fax
- (919) 629-4050
- NPI assigned
- Jul 11, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Lillie T.N Johnson, LMBT, MMP
- Title
- Practitioner/Owner
- Phone
- (919) 503-7483
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | Primary |
Addresses
Primary practice location
14 Consultant PL Ste 250
Durham, NC 27707-6320
Mailing address
3243 Brierhill Rd
New Hill, NC 27562-9360
Phone (919) 503-7483
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811347842 | Other | MASSAGE |
National Provider Directory
National Provider DirectoryLocations
14 Consultant Pl
Ste 250
Durham, NC 27707
Phone (919) 339-1835
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Massage Therapist
- Durham, NC
- NPI 1811347842
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689033600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689033600000",
"number": "1730868415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3243 BRIERHILL RD",
"city": "NEW HILL",
"state": "NC",
"postal_code": "275629360",
"telephone_number": "919-503-7483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 CONSULTANT PL STE 250",
"city": "DURHAM",
"state": "NC",
"postal_code": "277076320",
"telephone_number": "919-339-1835",
"fax_number": "919-629-4050"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESTORATIVE THERAPEUTICS, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-11",
"last_updated": "2023-07-11",
"certification_date": "2023-07-11",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "LILLIE",
"authorized_official_middle_name": "T.N",
"authorized_official_title_or_position": "PRACTITIONER/OWNER",
"authorized_official_telephone_number": "919-503-7483",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LMBT, MMP"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE",
"identifier": "1811347842",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.