Foundational Health Restoration, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

FOUNDATIONAL HEALTH RESTORATION, LLC

Practice address

540 Jermor LN Ste a
Westminster, MD 21157-6490

Phone

(443) 300-6367

Fax

(443) 300-6367

NPI assigned

Apr 5, 2021

Last updated

Aug 16, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Melinda-Ann B Roth, M.D.NPI 1811922867

Title

Sole Member

Phone

(410) 833-8205

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

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.

• Melinda-Ann B. Roth, MD

  • Physical Medicine & Rehabilitation Physician
  • Westminster, MD
  • NPI 1811922867
  Authorized official Same address or phone

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1841879145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 COCKEYS MILL RD",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211365116",
            "telephone_number": "410-833-8205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 JERMOR LN STE A",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576490",
            "telephone_number": "443-300-6367",
            "fax_number": "443-300-6367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATIONAL HEALTH RESTORATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-05",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "MELINDA-ANN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "410-833-8205",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "RothMD@RebuildWell.com",
            "affiliation": "N",
            "endpointDescription": "This is a HIPAA compliant  email account allowing data encryption when sent and at rest",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "644 Cockeys Mill Rd",
            "city": "Reisterstown",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211365116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Westminster, MD
• Providers in Westminster, MD by specialty
• Medical Specialty Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.