Organization Active NPI

Restore Motion LLC

  • Sports Physician Chiropractor
  • Port St Lucie, FL
National Provider Identifier
1912842592
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
Legal business name
RESTORE MOTION LLC
Practice address
648 SW Nichols Ter
Port St Lucie, FL 34953-1941
Phone
(770) 843-1762
NPI assigned
Apr 21, 2026
Last updated
Apr 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Authorized official

Name
Paul Tripp, DC, CCEPNPI 1699196832
Title
Owner
Phone
(770) 843-1762

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X NU Primary

Addresses

Primary practice location

648 SW Nichols Ter
Port St Lucie, FL 34953-1941

Mailing address

648 SW Nichols Ter
Port St Lucie, FL 34953-1941

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260526003663 FL Part B Supplier - Clinic/Group Practice 6901376425 Receives reassigned benefits from 1 practitioner
Practice locations: Port St Lucie, FL

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1776729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776729600000",
    "number": "1912842592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 SW NICHOLS TER",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349531941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 SW NICHOLS TER",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349531941",
            "telephone_number": "770-843-1762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE MOTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-21",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A",
        "authorized_official_last_name": "TRIPP",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-843-1762",
        "authorized_official_credential": "DC, CCEP"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.