Restore Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501005647 Issued in MI

Legal business name

RESTORE PHYSICAL THERAPY, LLC

Practice address

2370 Walton Blvd
Suite 1
Rochester Hills, MI 48309-1471

Phone

(248) 608-3149

Fax

(248) 608-3149

NPI assigned

Sep 24, 2006

Last updated

Feb 13, 2009By 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

Mr. Oliver C Patalinghug, PTNPI 1831142488

Title

Member

Phone

(248) 608-3149

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

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.

• Oliver C. Patalinghug, PT

  • Physical Therapist
  • Rochester Hills, MI
  • NPI 1831142488
  Medicare reassignment NPD Authorized official
• Maria-Luisa C Dela Cerna, PT

  • Physical Therapist
  • Auburn Hills, MI
  • NPI 1154414571
  NPD (past)

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234483200000",
    "number": "1891895496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 W HAMLIN RD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483073835",
            "telephone_number": "248-608-3149",
            "fax_number": "248-608-3149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2370 WALTON BLVD",
            "address_2": "SUITE 1",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483091471",
            "telephone_number": "248-608-3149",
            "fax_number": "248-608-3149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-24",
        "last_updated": "2009-02-13",
        "status": "A",
        "authorized_official_last_name": "PATALINGHUG",
        "authorized_official_first_name": "OLIVER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "248-608-3149",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501005647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "65-0-E0-1648-0",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00341360",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDWEST",
            "identifier": "024298",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "P300380001",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary A Renard, MD
• Paul A Renke, DDS
• Jonathan Paul Renner, MSPT
• Resourcience
• Restiq Sleep Solutions, PLLC
• Heather Jo Reynolds, M.S., CCC-SLP
• Juan Rhoades
• Carol L Rhodes, PH.D.
• Ricardo a. Yuzon, M.D., P.C.
• Travis Rich, DPM

• Physical Therapist in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2009; 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.