Restore Physical Therapy & Pelvic Health, PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

RESTORE PHYSICAL THERAPY & PELVIC HEALTH, PLLC

Doing business as

Restore Physical Therapy & Pelvic Health

Practice address

6130 Brandywine Dr
Johnston, IA 50131-8739

Phone

(515) 250-1477

NPI assigned

Sep 18, 2024

Organization subpart

No

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

Authorized official

Name

Kelly Brown Gross, PT, WCS

Title

Physical Therapist

Phone

(515) 250-1477

Specialties & licenses 1

Addresses

Other names 1

• Restore Physical Therapy & Pelvic Health Doing business as

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

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1942037312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6130 BRANDYWINE DR",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501318739",
            "telephone_number": "515-250-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6130 BRANDYWINE DR",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501318739",
            "telephone_number": "515-250-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE PHYSICAL THERAPY & PELVIC HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "BROWN GROSS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "515-250-1477",
        "authorized_official_credential": "PT, WCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restore Physical Therapy & Pelvic Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas Wesley Reis, C.P.
• Cynthia Mae Reitz, LISW
• Michelle Lynn Rembert, PT
• Mallory Renner
• Resilient Psychiatry L.L.C.
• Kate Michelle Reynolds, DPT
• Pamela F Reynolds, PT
• Rich Boton LLC
• Gary P Richards, D.C.
• Suzanne Kay Richards, PHD

• Physical Therapist in Johnston, IA
• Providers in Johnston, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.