ATHLETE RESTORATION COMPANY, LLC (NPI# 1508497215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508497215 |
| Entity Type | Organization |
| Organization Name | ATHLETE RESTORATION COMPANY, LLC |
| Practice Address |
512 Evernia St Ste 103 West Palm Beach FL 33401-5702 |
| Mailing Address |
11899 Bayberry St Palm Beach Gardens FL 33410-2107 |
| Practice Telephone | 5618998725 |
| Mailing Telephone | 5618143474 |
| Enumeration Date | 2020-01-31 |
| Last Update Date | 2020-01-31 |
| Authorized Official Name | DR. KYLE J VOLSTAD (OWNER/MANAGER/FOUNDER) |
| Authorized Official Telephone | 5618998725 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
512 EVERNIA ST STE 103 |
| City | WEST PALM BEACH |
| State | FL |
| Zip Code | 33401-5702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598371882 | Curt David Miller | Nurse Practitioner | 5300 East Avenue West Palm Beach Fl, West Palm Beach, FL 33401 | 2020-09-22 |
| 1699338152 | Carly N Lupo | Social Worker | 700 S Rosemary Ave, Suite 204 Ofc 101, West Palm Beach, FL 33401 | 2019-04-19 |
| 1740752625 | Latasha Harper | Specialist | 512 N St, West Palm Beach, FL 33401 | 2018-12-17 |
| 1124595640 | Elin Nordegren | Counselor | 1555 Palm Beach Lakes Blvd Suite 1560, West Palm Beach, FL 33401 | 2018-11-02 |
| 1205318664 | Phanette Turene | Behavior Technician | 1720 N Congress Ave Apt B207, West Palm Beach, FL 33401 | 2018-09-02 |
| 1790277002 | Ashley Zarda | Developmental Therapist | 253 8th St, West Palm Beach, FL 33401 | 2018-06-01 |
| 1487162988 | Pinnacle Counseling Service Pllc | Social Worker | 1900 S Olive Avenue, West Palm Beach, FL 33401 | 2018-01-18 |
| 1245754027 | Patricia Caroscio | Dental Hygienist | 800 Clematis Street, West Palm Beach, FL 33401 | 2017-08-02 |
| 1255852562 | Dermnow Pa | Dermatology | 1500 N Flasler Dr #, 101, West Palm Beach, FL 33401 | 2017-06-28 |
| 1699204289 | Edward Gerardo Ortiz | Counselor | 1639 Forum Place Suite #7, West Palm Beach, West Palm Beach, FL 33401 | 2017-06-07 |
| Find all providers in zip 33401 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821606682 | Bridgette Greene | Physical Therapist | 5433 54th Way, West Palm Beach, FL 33409-7109 | 2020-07-17 |
| 1811512874 | Jhungee Canada | Physical Therapist | 2160 Big Wood Cay, West Palm Beach, FL 33411-5550 | 2020-06-15 |
| 1952925489 | Ipt of Florida, Inc. | Physical Therapist | 1225 N Military Trl Ste 7, West Palm Beach, FL 33409-6059 | 2020-06-01 |
| 1124585286 | Sergio Gomez | Physical Therapist | 211 S Narcissus Ave # Mu-3, West Palm Beach, FL 33401-5654 | 2019-02-25 |
| 1841769858 | Ruta Razanauskaite | Physical Therapist | 211 S Narcissus Ave # Mu3, West Palm Beach, FL 33401-5654 | 2018-11-19 |
| 1811464944 | Michael Angelo Racho Zapanta | Physical Therapist | 931 Village Blvd Ste 903, West Palm Beach, FL 33409-1939 | 2018-10-26 |
| 1376027607 | Michel Benyamen | Physical Therapist | 2247 Palm Beach Lakes Blvd Ste 109, West Palm Beach, FL 33409-3408 | 2018-09-22 |
| 1346724937 | Christopher Wieland | Physical Therapist | 3891 Victoria Dr, West Palm Beach, FL 33406-4711 | 2018-09-19 |
| 1508370131 | Lisa Palmieri | Physical Therapist | 5056 Wallis Rd, West Palm Beach, FL 33415 | 2017-11-17 |
| 1982131181 | Kerry Timmins | Physical Therapist | 1341 Stonehaven Estates Dr, West Palm Beach, FL 33411-6620 | 2017-05-18 |
| Find all providers in WEST PALM BEACH | ||||
| City | WEST PALM BEACH |
| Zip Code | 33401 |
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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.