RESTORATION PHYSIOTHERAPY, INC. (NPI# 1447504485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447504485 |
| Entity Type | Organization |
| Organization Name | RESTORATION PHYSIOTHERAPY, INC. |
| Other Organization Name | RESTORE TESTING |
| Practice Address |
3626 Latrobe Dr Charlotte NC 28211-1388 |
| Mailing Address |
311 Port Royal Dr Matthews NC 28105-1573 |
| Practice Telephone | 7046549838 |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2012-10-30 |
| Authorized Official Name | MR. SAMUEL MCKELVEY (OWNER) |
| Authorized Official Telephone | 7046549838 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
P9151 | NC | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Restore Testing | Other Name - Individual/Organization |
| Street Address |
3626 LATROBE DR |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28211-1388 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790745495 | Joel A Onafowokan | Internal Medicine | 3626 Latrobe Dr, Charlotte, NC 28211-1388 | 2006-03-25 |
| 1114583358 | Bezawit Abebe | Nurse Practitioner | 3626 Latrobe Dr, Charlotte, NC 28211-1388 | 2019-05-14 |
| 1134598790 | Phuong Minh Bui | Counselor | 3626 Latrobe Dr, Suite 102, Charlotte, NC 28211-1388 | 2015-09-24 |
| 1093108896 | Bobbie C Stokes | Health Educator | 3626 Latrobe Dr, Charlotte, NC 28211-1388 | 2015-03-18 |
| 1710390224 | Alicia Smalls | Counselor | 3626 Latrobe Dr, Charlotte, NC 28211-1388 | 2014-06-03 |
| 1992947766 | Faith Medical Center P.C. | Psychiatry & Neurology | 3626 Latrobe Dr, Charlotte, NC 28211-1388 | 2009-03-25 |
| 1700027307 | Ambrosha Nicole Jordan | Nurse Practitioner | 3626 Latrobe Dr, Charlotte, NC 28211-1388 | 2009-03-12 |
| 1528239357 | Christine Renee Getty | Physician Assistant | 3626 Latrobe Dr, Charlotte, NC 28211-1183 | 2008-03-19 |
| 1639123391 | Heart Care Center of Charlotte | Internal Medicine | 3626 Latrobe Dr, Charlotte, NC 28211-1388 | 2006-05-19 |
| 1932167004 | Hossein H Farahany | Internal Medicine | 3626 Latrobe Dr, Charlotte, NC 28211-1183 | 2006-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184277832 | I and J Wheelchair Transportation | Non-emergency Medical Transport (VAN) | 1512 Delane Avenue, Charlotte, NC 28211 | 2019-07-22 |
| 1922563923 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 | 2019-02-04 |
| 1649798273 | Ally Home Care Charlotte LLC | In Home Supportive Care | 3711 Latrobe Drive Suite 520, Charlotte, NC 28211 | 2017-09-04 |
| 1154866770 | Vaibhav Bajaj | Dentist | 2809 Coltsgate Rd Ste 200, Charlotte, NC 28211 | 2017-01-05 |
| 1508254939 | Lindsay Marie Smits | Speech-Language Pathologist | 427 N. Wendover Rd., Charlotte, NC 28211 | 2015-01-08 |
| 1457755480 | Kristen Hammer | Physical Therapy Assistant | 4120 Providence Rd Apt D, Charlotte, NC 28211 | 2014-10-20 |
| 1669805610 | Carla Elizabeth Scott | Physical Therapist | 3500 Ellington Street, Dr. Carlton Watkins Center, Charlotte, NC 28211 | 2013-08-14 |
| 1760726368 | Jill Hensdale Shipp | Social Worker | 307 Hunter Lane, Charlotte, NC 28211 | 2012-11-20 |
| 1346592722 | Danielle Marie Benoit | Occupational Therapist | 3541 Randolph Road Suite 100 W, Charlotte, NC 28211 | 2012-10-09 |
| 1487910832 | John Joseph Marcel Jr. | Orthopaedic Surgery | 449 North Wendover Rd Ste A, Charlotte, NC 28211 | 2012-04-10 |
| Find all providers in zip 28211 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295349231 | All Natural Female LLC | Clinic/Center | 10314 Kirkmont Dr, Charlotte, NC 28269-6219 | 2020-09-08 |
| 1538773064 | Congruency Therapy & Wellness LLC | Clinic/Center | 5045 Strawberry Hill Dr Apt D, Charlotte, NC 28211-4535 | 2020-09-02 |
| 1316563208 | Meaningful Movement LLC | Clinic/Center | 6314 Autumn Moss Ct, Charlotte, NC 28277-3514 | 2020-06-17 |
| 1952925885 | Inertia Physical Therapy LLC | Clinic/Center | 2700 Coltsgate Rd Ste 105, Charlotte, NC 28211-3573 | 2020-06-06 |
| 1063064061 | Go Pt First Inc. | Clinic/Center | 17059 Commons Creek Dr, Charlotte, NC 28277-2080 | 2019-07-10 |
| 1215596978 | Fundamental Physical Therapy LLC | Clinic/Center | 9517 Saddle Run Trl, Charlotte, NC 28269-0383 | 2019-06-06 |
| 1346808136 | Queen City Pelvic Pt | Clinic/Center | 5009 Erickson Rd, Charlotte, NC 28205-7319 | 2019-06-05 |
| 1639687965 | Pin Point Physical Therapy, LLC | Clinic/Center | 13939 Rocky Gap Ln, Charlotte, NC 28278-8615 | 2018-01-22 |
| 1932611324 | Charlotte One On One Physical Therapy | Clinic/Center | 4310 Park Rd Apt 103, Charlotte, NC 28209-0006 | 2017-10-25 |
| 1861934010 | Physical Therapy Center Two, LLC | Clinic/Center | 2400 South Blvd., Charlotte, NC 28203 | 2016-11-04 |
| Find all providers in CHARLOTTE | ||||
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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.