RESTORE PHYSICAL THERAPY AND WELLNESS LLC


Address: 415 Bellflower Ct, Roswell, GA 30076-3369
Phone: 6784914729

RESTORE PHYSICAL THERAPY AND WELLNESS LLC (NPI# 1073816112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073816112
Entity Type Organization
Organization Name RESTORE PHYSICAL THERAPY AND WELLNESS LLC
Practice Address 415 Bellflower Ct
Roswell
GA 30076-3369
Practice Telephone 6784914729
Mailing Telephone 6784914729
Enumeration Date 2010-12-12
Last Update Date 2011-01-11
Authorized Official Name SHANNON WARD HENNE (PRESIDENT)
Authorized Official Telephone 6784914729
Authorized Official Credential PT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2000X Clinic/Center
Specialization: Physical Therapy
PT007124 GA Ambulatory Health Care Facilities

Office Location

Street Address 415 BELLFLOWER CT
City ROSWELL
State GA
Zip Code 30076-3369

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Taxonomy Information

Taxonomy Code 261QP2000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Physical Therapy

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952920696 Michele Pond Physical Therapy LLC Clinic/Center 910 Marietta Hwy Ste 240, Roswell, GA 30075-6750 2020-04-13
1114561636 Drive Physical Therapy and Performance LLC Clinic/Center 700 Holcomb Bridge Rd Ste 200, Roswell, GA 30076-1630 2019-10-29
1033623673 Body G O A L S Physical Therapy & Wellness Clinic/Center 875 Old Roswell Rd Ste F100, Roswell, GA 30076-1658 2017-11-17
1619349743 Sentry Safety and Physical Therapy Specialists, LLC Clinic/Center 4504 Verde Dr, Roswell, NM 88201-9159 2015-10-28
1437593464 Fusion Physical Therapy, Inc Clinic/Center 11660 Alpharetta Hwy Ste 268, Roswell, GA 30076-3876 2013-04-22
1952441255 Arc Therapy Services LLC Clinic/Center 1000 Applewood Dr, Roswell, GA 30076-1395 2007-02-07
1073563763 Roswell Therapy Services LLC Clinic/Center 10929 Crabapple Rd, Roswell, GA 30075-7657 2006-05-11
1275150039 Movement Pursuit LLC Clinic/Center 120 Park Bridge Ln, Roswell, GA 30075-3062 2020-06-28
1285294694 Agilitas Usa, Inc Clinic/Center 10800 Alpharetta Hwy Ste 176, Roswell, GA 30076-1463 2019-06-18
1437438801 Adventures In Balance, LLC Clinic/Center 45 W Crossville Rd, Suite 514, Roswell, GA 30075-2964 2011-08-16
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Competitor

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City ROSWELL
Zip Code 30076

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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