NPIMap

Organization Active NPI

Restor Physical Therapy Inc.

  • Physical Therapy Clinic/Center
  • Fountain Valley, CA
National Provider Identifier
1952414112
Registry record updated Nov 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
RESTOR PHYSICAL THERAPY INC.
Practice address
17272 Newhope St
Suite G
Fountain Valley, CA 92708-4210
Phone
(714) 754-7268
Fax
(714) 434-7042
NPI assigned
Aug 15, 2006
Last updated
Nov 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2013

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

Authorized official

Name
John Horsley, P.T.NPI 1689615106
Title
President
Phone
(714) 754-7268

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
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

17272 Newhope St
Suite G
Fountain Valley, CA 92708-4210

Mailing address

PO Box 8125
Fountain Valley, CA 92728-8125

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040130000355 CA Part B Supplier - Clinic/Group Practice 9032012612 Receives reassigned benefits from 2 practitioners
Practice locations: Newport Beach, CA

National Provider Directory

National Provider Directory
Tax ID family
Restor Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

17272 Newhope St
#6
Fountain Valley, CA 92708
Phone (714) 754-7268

17272 Newhope St
Ste 6
Fountain Valley, CA 92708
Phone (714) 754-7268

16782 Hale Ave
Irvine, CA 92606
Phone (949) 727-1858

6865 Alton Pkwy
Irvine, CA 92618
Phone (714) 758-7268

6865 Alton Pkwy
Ste 110
Irvine, CA 92618
Phone (949) 679-2933

22600 Lambert St
Bldg C
Lake Forest, CA 92630
Phone (949) 727-1858

351 Hospital Rd
Newport Beach, CA 92663
Phone (949) 525-9995

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384387200000",
    "number": "1952414112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8125",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927288125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17272 NEWHOPE ST",
            "address_2": "SUITE G",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084210",
            "telephone_number": "714-754-7268",
            "fax_number": "714-434-7042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTOR PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2013-11-14",
        "status": "A",
        "authorized_official_last_name": "HORSLEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-754-7268",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; 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.