NPIMap

Organization Active NPI

Restore Muscle and Joint, LLC

  • Orthopaedic Surgery Physician
  • Kansas City, MO
National Provider Identifier
1962767061
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
RESTORE MUSCLE AND JOINT, LLC
Practice address
4119 NW Barry Rd
Kansas City, MO 64154-1100
Phone
(816) 452-4488
Fax
(816) 452-4491
NPI assigned
Jul 5, 2012
Last updated
Jun 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Authorized official

Name
Mr. Troy Aaron Pearson
Title
Owner
Phone
(816) 686-4551

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary
Physical Medicine & Rehabilitation Physician 208100000X NU
Vascular & Interventional Radiology Physician 2085R0204X NU

Addresses

Primary practice location

4119 NW Barry Rd
Kansas City, MO 64154-1100

Mailing address

4119 NW Barry Rd
Kansas City, MO 64154-1100
Phone (816) 452-4488

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120827000438 MO Part B Supplier - Clinic/Group Practice 9830346824 Receives reassigned benefits from 25 practitioners
Practice locations: Independence, MO; Kansas City, MO

National Provider Directory

National Provider Directory

Locations

4200 Little Blue Pkwy
Ste 350
Independence, MO 64057
Phone (816) 648-6482

4119 NW Barry Rd
Kansas City, MO 64154
Phone (816) 452-4488

Practitioners & affiliated clinicians

Practitioners 26

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 26

NPI Registry JSON

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1962767061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4119 NW BARRY RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641541100",
            "telephone_number": "816-452-4488",
            "fax_number": "816-452-4491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4119 NW BARRY RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641541100",
            "telephone_number": "816-452-4488",
            "fax_number": "816-452-4491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE MUSCLE AND JOINT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-05",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-686-4551",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.