NPIMap

Organization Active NPI

Restore Pelvic Health Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Dothan, AL
National Provider Identifier
1942948427
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
RESTORE PELVIC HEALTH PHYSICAL THERAPY LLC
Practice address
1314 Westgate Pkwy Ste 7
Dothan, AL 36303-2154
Phone
(205) 492-3216
Fax
(334) 268-5865
NPI assigned
May 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Authorized official

Name
Dr. Kelli Daniels, PT, DPTNPI 1306261656
Title
Owner
Phone
(334) 701-4800

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1314 Westgate Pkwy Ste 7
Dothan, AL 36303-2154

Mailing address

1314 Westgate Pkwy Ste 7
Dothan, AL 36303-2154
Phone (334) 268-5880

Other names 1

  • Restore Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240122002208 AL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3072965441 Receives reassigned benefits from 7 practitioners
Practice locations: Dothan, AL

National Provider Directory

National Provider Directory

Locations

1314 Westgate Pkwy
Ste 7
Dothan, AL 36303
Phone (334) 268-5880

Practitioners & affiliated clinicians

Practitioners 7

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": "1653350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1942948427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 WESTGATE PKWY STE 7",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363032154",
            "telephone_number": "334-268-5880",
            "fax_number": "334-268-5865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 WESTGATE PKWY STE 7",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363032154",
            "telephone_number": "205-492-3216",
            "fax_number": "334-268-5865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE PELVIC HEALTH PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-24",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "KELLI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-701-4800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restore Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.