Restorative Biotherapy PLLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

RESTORATIVE BIOTHERAPY PLLC

Practice address

1315 Valentine St
Melbourne, FL 32901-3127

Phone

(321) 626-0125

NPI assigned

Feb 13, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Mark McTammany, MD

Title

Owner

Phone

(321) 626-0125

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23620/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1613174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613174400000",
    "number": "1922691674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 VALENTINE ST",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013127",
            "telephone_number": "321-626-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 VALENTINE ST",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013127",
            "telephone_number": "321-626-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATIVE BIOTHERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-13",
        "last_updated": "2021-02-13",
        "certification_date": "2021-02-13",
        "status": "A",
        "authorized_official_last_name": "MCTAMMANY",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-626-0125",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eda Susan Renieri, MASTECTOMY FITTER
• Mark Renner, MD
• Alexandra Renninger
• Ivory Tierra Renthrope III
• Jorge Requena Penenori, M.D
• Restore Spine LLC
• Ana Lucia Restrepo, M.D.
• Rosalinda Torralba Retig, RT
• Colby Revers, M.S OTR/L
• Lynnette Renee Reville, M.A., CCC-A

• Multi-Specialty Clinic/Center in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Multi-Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2021; 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.