Restoration Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

RESTORATION PHYSICAL THERAPY

Practice address

4020 W Palm Aire Dr Apt 201
Pompano Beach, FL 33069-4159

Phone

(954) 860-3117

NPI assigned

Apr 2, 2019

Organization subpart

No

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

Authorized official

Name

Roman Jurkiewicz, PTNPI 1497216378

Title

President/Physical Therapist

Phone

(954) 860-3117

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

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

• Roman Jurkiewicz, PT

  • Physical Therapist
  • Pompano Beach, FL
  • NPI 1497216378
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567987200000",
    "number": "1831651678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2637 E ATLANTIC BLVD # 1064",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330624939",
            "telephone_number": "954-860-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 W PALM AIRE DR APT 201",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330694159",
            "telephone_number": "954-860-3117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-02",
        "last_updated": "2019-09-09",
        "status": "A",
        "authorized_official_last_name": "JURKIEWICZ",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "954-860-3117",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renata F.Cunha, DDS, PA
• Kioma Renaud
• Sakheena Rennie, OTR/L
• Renumi Inc
• Residence at Pompano Beach LLC
• Reveresco ABA Therapy, LLC
• Revive Surgicenter LLC
• Rebecca M Rey, M.D.
• Gabriella Elena Reyes
• Irish M. Reyes, PA-C

• Physical Therapist in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; 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.