NPIMap

Organization Active NPI

Restorative Therapy Company LLC

  • Physical Therapy Clinic/Center
  • Virginia Beach, VA
National Provider Identifier
1902454564
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
RESTORATIVE THERAPY COMPANY LLC
Practice address
1004 First Colonial Rd Ste 101
Virginia Beach, VA 23454-3070
Phone
(757) 578-2958
NPI assigned
Aug 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Authorized official

Name
Becca Ellis, PT, DPT
Title
Ceo
Phone
(757) 286-1615

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1004 First Colonial Rd Ste 101
Virginia Beach, VA 23454-3070

Mailing address

908 Saint Cir
Virginia Beach, VA 23454-2813
Phone (757) 335-2894

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191101000185 VA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2567794084 Receives reassigned benefits from 6 practitioners
Practice locations: Virginia Beach, VA

National Provider Directory

National Provider Directory

Locations

1004 First Colonial Rd
Ste 101
Virginia Beach, VA 23454
Phone (757) 481-9402

Practitioners & affiliated clinicians

Practitioners 6

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": "1566864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604361600000",
    "number": "1902454564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 SAINT CIR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542813",
            "telephone_number": "757-335-2894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 FIRST COLONIAL RD STE 101",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543070",
            "telephone_number": "757-578-2958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATIVE THERAPY COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-27",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "BECCA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-286-1615",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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.