Active NPI
Restore Physical Therapy and Wellness
- Physical Therapist
- Scottsdale, AZ
National Provider Identifier
1992479646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- RESTORE PHYSICAL THERAPY AND WELLNESS
- Practice address
- 13726 E Monument Dr
Scottsdale, AZ 85262-7045 - Phone
- (518) 369-6454
- NPI assigned
- Aug 5, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anita Jean Gregory, PT
- Title
- Owner/Physical Therapist
- Phone
- (518) 369-6454
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
13726 E Monument Dr
Scottsdale, AZ 85262-7045
Mailing address
13726 E Monument Dr
Scottsdale, AZ 85262-7045
Phone (518) 369-6454
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1631577600000",
"number": "1992479646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13726 E MONUMENT DR",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852627045",
"telephone_number": "518-369-6454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13726 E MONUMENT DR",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852627045",
"telephone_number": "518-369-6454"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESTORE PHYSICAL THERAPY AND WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-05",
"last_updated": "2021-09-14",
"certification_date": "2021-09-14",
"status": "A",
"authorized_official_last_name": "GREGORY",
"authorized_official_first_name": "ANITA",
"authorized_official_middle_name": "JEAN",
"authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
"authorized_official_telephone_number": "518-369-6454",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.