RESTORE FUNCTIONAL RESTORATION, LLC (NPI# 1952716698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952716698 |
Entity Type | Organization |
Organization Name | RESTORE FUNCTIONAL RESTORATION, LLC |
Practice Address |
20002 N 19th Ave # B100 Phoenix AZ 85027-4250 |
Practice Telephone | 6027141408 |
Practice Fax Number | 8884687614 |
Mailing Telephone | 6027141408 |
Mailing Fax Number | 8884687614 |
Enumeration Date | 2014-06-20 |
Last Update Date | 2014-06-20 |
Authorized Official Name | AMY RICHTER BODE (OWNER/COO) |
Authorized Official Telephone | 6024039711 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
Street Address |
20002 N 19TH AVE # B100 |
City | PHOENIX |
State | AZ |
Zip Code | 85027-4250 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891306312 | Ashley Nicole Felipe | Registered Nurse | 25700 N 21st Ave, Phoenix, AZ 85027 | 2020-08-10 |
1942784376 | Crystal Rodriguez | Dentist | 2550 W Union Hills Dr Ste 201, Phoenix, AZ 85027 | 2018-09-21 |
1790284776 | Lydia Kuuipo Chong | Nurse Practitioner | 20414 N 27th Ave #300, Phoenix, AZ 85027 | 2018-02-06 |
1457867004 | Kristi Marie Mathews | Nurse Practitioner | 19829 N 29th Avenue, Phoenix, AZ 85027 | 2017-12-19 |
1710348362 | The Empower House, LLC | Community Based Residential Treatment Facility, Mental Illness | 18631 N. 19th Ave., Suite 158-305, Phoenix, AZ 85027 | 2016-03-10 |
1972979656 | Dr Daniel H Yohannes D.d.s., PC | Dentist | 602 W. Union Hills Dr, #8, Phoenix, AZ 85027 | 2015-08-17 |
1013346857 | Dentistry At 35th Avenu | Dentist | 18635 N 35th Avenue, Phoenix, AZ 85027 | 2013-11-02 |
1437592102 | Ammar Alobaidy | Psychiatry & Neurology | 21410 N 19th Ave Ste 151, Phoenix, AZ 85027 | 2013-04-12 |
1588900021 | Jill Elizabeth Maroscia | Social Worker | 19636 N 27th Ave #106, Phoenix, AZ 85027 | 2013-01-02 |
1124394515 | Sfjg Holdings LLC | Dentist | 3414 W. Union Hills Dr, Suite 12 & 14, Phoenix, AZ 85027 | 2012-03-29 |
Find all providers in zip 85027 |
Taxonomy Code | 261QR0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
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1013404680 | Continuum Recovery Center | Clinic/Center | 3710 W Greenway Rd Ste 104, Phoenix, AZ 85053-3729 | 2018-04-18 |
1124011812 | Above & Beyond Therapy Services LLC | Clinic/Center | 3233 W Peoria Ave, Suite 224, Phoenix, AZ 85029-4614 | 2005-08-26 |
1023619632 | Bhsm Rehabilitation, LLC | Clinic/Center | 2222 E Highland Ave Ste 310, Phoenix, AZ 85016-4879 | 2020-11-02 |
1225505464 | Bhsm Rehabilitation, LLC | Clinic/Center | 755 E Mcdowell Rd, Phoenix, AZ 85006-2506 | 2018-10-25 |
1326563370 | Bhsm Rehabilitation, LLC | Clinic/Center | 14001 N 7th St Ste A102, Phoenix, AZ 85022-4382 | 2017-08-11 |
1861917817 | Bhsm Rehabilitation, LLC | Clinic/Center | 1661 E Camelback Rd Ste 152, Phoenix, AZ 85016-3921 | 2017-08-11 |
1629485198 | Duane Young | Clinic/Center | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2014-07-16 |
1104090844 | Arizona Rehabilitation Associates, Ltd. | Clinic/Center | 20940 N Tatum Blvd, Suite 200, Phoenix, AZ 85050-4265 | 2008-04-14 |
1033394507 | Valley Rehabilitation Associates, Inc | Clinic/Center | 20940 N Tatum Blvd, Suite 200, Phoenix, AZ 85050-4265 | 2008-01-03 |
1881737849 | Compass Mental Health, LLC | Clinic/Center | 4550 E Bell Rd, Suite 147, Phoenix, AZ 85032-9306 | 2007-02-15 |
Find all providers in PHOENIX |
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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.