Restore and Revitalize Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT025052 Issued in PA

Legal business name

RESTORE AND REVITALIZE PHYSICAL THERAPY

Practice address

3 Windrow LN
Newtown, PA 18940-1777

Phone

(215) 880-7701

NPI assigned

Oct 18, 2017

Organization subpart

No

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

Authorized official

Name

Tulsi Maddula, PT, DPT, CLT, CES

Title

Physical Therapist

Phone

(215) 880-7701

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tulsi Patel, PT, DPT, CLT, CES

  • Physical Therapist
  • Newtown, PA
  • NPI 1003327990

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508284800000",
    "number": "1760993653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WINDROW LN",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401777",
            "telephone_number": "215-880-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 WINDROW LN",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401777",
            "telephone_number": "215-880-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE AND REVITALIZE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-18",
        "last_updated": "2017-10-18",
        "status": "A",
        "authorized_official_last_name": "MADDULA",
        "authorized_official_first_name": "TULSI",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "215-880-7701",
        "authorized_official_credential": "PT, DPT, CLT, CES"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT025052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Angela Reid, MS, BCBA
• Robert Remstein, DO
• Jessica Ann Renda, OTR/L
• Resilient Rnfa, LLC
• Resilient Rnfa, LLC
• Coral Reyes-Rojas
• Maia Violeta Reyes, LAC
• Richard a Vitti, MD
• Alanna Richardson, LCSW
• Victoria Richardson

• Physical Therapist in Newtown, PA
• Providers in Newtown, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; 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.