RESTORATIVE WELLNESS LLC (NPI# 1336687250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336687250 |
| Entity Type | Organization |
| Organization Name | RESTORATIVE WELLNESS LLC |
| Other Organization Name | RESTORATIVE WELLNESS PHYSICAL THERAPY |
| Practice Address |
1201 N Decatur Blvd Suite 109 Las Vegas NV 89108-1222 |
| Mailing Address |
11741 Costa Blanca Ave Las Vegas NV 89138-4556 |
| Practice Telephone | 7029077978 |
| Enumeration Date | 2017-02-11 |
| Last Update Date | 2017-02-11 |
| Authorized Official Name | MRS. ANAT BURDA (CEO) |
| Authorized Official Telephone | 7029077978 |
| Authorized Official Credential | PT, DPT, IMT,C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
2468 | NV | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Restorative Wellness Physical Therapy | Doing Business As Name - Organization |
| Street Address |
1201 N DECATUR BLVD SUITE 109 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89108-1222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093734824 | Frank Karr | Counselor | 1201 N Decatur Blvd, Suite 111a, Las Vegas, NV 89108-1222 | 2006-07-19 |
| 1316311244 | Harmel Chiropractic LLC | Chiropractor | 1201 N Decatur Blvd, Ste 109, Las Vegas, NV 89108-1222 | 2015-11-16 |
| 1215240817 | Anat Burda | Physical Therapist | 1201 N Decatur Blvd, Suite 109, Las Vegas, NV 89108-1222 | 2010-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912519380 | Alicia Becerra Meza | Technician | 6585 Lemitar Dr., Las Vegas, NV 89108 | 2020-08-18 |
| 1679181978 | Lisa Nicole Plonsky | Technician, Pathology | 1104 Smith St, Las Vegas, NV 89108 | 2020-07-22 |
| 1376185983 | Yazmin Pelayo | Technician | 1513 Fay Boulevard, Las Vegas, NV 89108 | 2019-10-15 |
| 1619523974 | Maria De Carmen Reynoso Ponce | Technician | 6431 Big Pine Way, Las Vegas, NV 89108 | 2019-08-13 |
| 1669028122 | Maricela Arteaga | Technician | 1425 Lilac Breeze Cr, Las Vegas, NV 89108 | 2019-08-12 |
| 1255808853 | Alexis Nicole Haynes | Health Educator | 2589 North Rancho Drive, Las Vegas, NV 89108 | 2018-11-01 |
| 1720554827 | Total Recovery Bhs | Community/Behavioral Health | 2436 Valparaiso St, Las Vegas, NV 89108 | 2018-10-17 |
| 1083104574 | Melissa Jacqueline Marie Howard | Rehabilitation Counselor | 4428 West Lake Mead Blvd, Las Vegas, NV 89108 | 2018-05-10 |
| 1104315647 | Pinnacle Medical Center | Family Medicine | 3172 N. Rainbow Blvd, Suite# 1176, Las Vegas, NV 89108 | 2018-05-09 |
| 1255845103 | Zaneqwah Shaw | Community/Behavioral Health | 3933 Lazy Pine St Unit 201, Las Vegas, NV 89108 | 2017-11-29 |
| Find all providers in zip 89108 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013526045 | Direct To You Physical Therapy, Pllc | Clinic/Center | 10334 Howling Coyote Ave, Las Vegas, NV 89135-1119 | 2020-07-27 |
| 1437778784 | Lvc Physical Therapy LLC | Clinic/Center | 1050 S Rainbow Blvd Ste 210, Las Vegas, NV 89145-6231 | 2020-04-15 |
| 1427695543 | Aaa Physical Therapy LLC | Clinic/Center | 633 N. Decatur Blvd., Suite E, Las Vegas, NV 89107 | 2019-12-09 |
| 1598316598 | Grow Therapy Nv | Clinic/Center | 9321 Colorful Rainbow Ave, Las Vegas, NV 89166-3777 | 2019-09-23 |
| 1558921205 | Onsight Movement, LLC | Clinic/Center | 10809 Garden Mist Dr Apt 2051, Las Vegas, NV 89135-2886 | 2019-06-15 |
| 1376018556 | Gemm Physical Therapy LLC | Clinic/Center | 9646 Kirkland Ranch Ct, Las Vegas, NV 89139-7496 | 2018-10-03 |
| 1285111823 | Pr Acquisition Corporation | Clinic/Center | 6048 S Durango Dr Ste 100&105, Las Vegas, NV 89113-1781 | 2018-07-26 |
| 1831604099 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 3000 Las Vegas Blvd S Trlr C, Las Vegas, NV 89109-1932 | 2017-12-11 |
| 1982947701 | A-grav 1 LLC | Clinic/Center | 365 E Windmill Ln, Las Vegas, NV 89123-1807 | 2013-03-29 |
| 1972775542 | Arc Therapy Services LLC | Clinic/Center | 6650 W Flamingo Rd, Las Vegas, NV 89103-2142 | 2008-03-24 |
| Find all providers in LAS VEGAS | ||||
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| 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.