Organization Active NPI

Restore Therapy and Rehabilitation Services LLC

  • Physical Therapy Clinic/Center
  • Garland, TX
National Provider Identifier
1952100844
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
RESTORE THERAPY AND REHABILITATION SERVICES LLC
Practice address
4025 Carrington Dr
Garland, TX 75043-2163
Phone
(224) 243-0786
NPI assigned
Mar 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Authorized official

Name
Mr. Varghese Jipson
Title
Office Adminitrator
Phone
(224) 243-0786

Specialties & licenses 1

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

Addresses

Primary practice location

4025 Carrington Dr
Garland, TX 75043-2163

Mailing address

4025 Carrington Dr
Garland, TX 75043-2163
Phone (224) 243-0786

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250627003672 TX Part B Supplier - Clinic/Group Practice 5294248712 Practice locations: Garland, TX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1741737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1952100844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 CARRINGTON DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750432163",
            "telephone_number": "224-243-0786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 CARRINGTON DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750432163",
            "telephone_number": "224-243-0786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE THERAPY AND REHABILITATION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-12",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "JIPSON",
        "authorized_official_first_name": "VARGHESE",
        "authorized_official_title_or_position": "OFFICE ADMINITRATOR",
        "authorized_official_telephone_number": "224-243-0786",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.