NPIMap

Organization Active NPI

Restored Movement Physical Therapy, LLC

  • Point of Service
  • Charlotte, NC
National Provider Identifier
1871244319
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
Legal business name
RESTORED MOVEMENT PHYSICAL THERAPY, LLC
Practice address
3215 Windshire LN Unit 210
Charlotte, NC 28273-4190
Phone
(704) 293-0202
NPI assigned
Jan 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

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

Authorized official

Name
Larry W. Bennett II, DPTNPI 1861817801
Title
Owner
Phone
(704) 293-0202

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X
Point of Service 305S00000X Primary

Addresses

Primary practice location

3215 Windshire LN Unit 210
Charlotte, NC 28273-4190

Mailing address

3215 Windshire LN Unit 210
Charlotte, NC 28273-4190
Phone (704) 293-0202

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642377600000",
    "number": "1871244319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 WINDSHIRE LN UNIT 210",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282734190",
            "telephone_number": "704-293-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 WINDSHIRE LN UNIT 210",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282734190",
            "telephone_number": "704-293-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORED MOVEMENT PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-17",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-293-0202",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; 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.