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RESTOR MEDICAL CENTER LLC NPI 1073140422


NPI Information

NPI: 1073140422
Provider Name: RESTOR MEDICAL CENTER LLC
Classification: Neuromusculoskeletal Medicine, Sports Medicine - 204C00000X
Entity Type: Organization
Address:
639 W MAIN ST
BLANCHESTER, OH
ZIP 45107
Phone: (937) 783-5257
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RESTOR MEDICAL CENTER LLC is a neuromusculoskeletal medicine sports medicine in Blanchester, OH. The provider is a Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation. Source: American Osteopathic Association Additional Resources: AOA Osteopathic Board Certification in Neuromusculoskeletal Medicine; https://certification.osteopathic.org/sports-medicine/ RESTOR MEDICAL CENTER LLC NPI is 1073140422. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

639 W MAIN ST
BLANCHESTER, OH
ZIP 45107-401
Phone: (937) 783-5257

The provider's authorized official is John Albino .
The authorized official title is President and has the following contact phone number (937) 783-5257.

The enumeration date for this NPI number is 3/25/2020 and was last updated on 3/25/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered NurseNo
2163WG0000XRegistered NurseGeneral PracticeNo
3163WM0705XRegistered NurseMedical-SurgicalNo
4163WP0000XRegistered NursePain ManagementNo
5163WR0400XRegistered NurseRehabilitationNo
6163WX0800XRegistered NurseOrthopedicNo
7164W00000XLicensed Practical NurseNo
8204D00000XNeuromusculoskeletal Medicine & OMMNo
9207Q00000XFamily MedicineNo
10207QS0010XFamily MedicineSports MedicineNo
112081N0008XPhysical Medicine & RehabilitationNeuromuscular MedicineNo
122081S0010XPhysical Medicine & RehabilitationSports MedicineNo
13208VP0000XPain MedicinePain MedicineNo
14225400000XRehabilitation PractitionerNo
15204C00000XNeuromusculoskeletal Medicine, Sports MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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