RESTORATIVE PHYSICAL THERAPY, PLLC
NPI 1053012898
Clinic/Center - Physical Therapy in Evanston, IL

Active since March 16, 2023
604 DAVIS ST, EVANSTON, IL 60201(847) 287-2659 Get Directions Write a Review

NPPES record last updated: October 3, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 3, 2023, Mar 16, 2023 (2 updates tracked since 2023).

  • Organization
  • Clinic/Center
  • Physical Therapy

About RESTORATIVE PHYSICAL THERAPY, PLLC

This page provides the complete NPI Profile along with additional information for Restorative Physical Therapy, Pllc, a provider established in Evanston, Illinois operating as a Clinic/center, focusing in physical therapy . The healthcare provider is registered in the NPI registry with number 1053012898 assigned on March 2023. The practitioner's primary taxonomy code is 261QP2000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Melissa D Goldberg (Owner)

NPI
1053012898 Verify this NPI
Provider Name
RESTORATIVE PHYSICAL THERAPY, PLLC
Entity Type
Organization
Location Address
604 DAVIS ST EVANSTON, IL 60201
Location Phone
(847) 287-2659
Mailing Address
604 DAVIS ST FL 1 EVANSTON, IL 60201
Mailing Phone
(847) 220-4260
Mailing Fax
(847) 748-0132
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-16-2023
Last Update Date
10-03-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Physical Therapy

Taxonomy Code
261QP2000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MELISSA D GOLDBERG

Authorized Official Title
OWNER
Authorized Official Phone
(847) 220-4260

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Physical Therapist (Orthopedic)
604 DAVIS ST
EVANSTON, IL 60201
Clinic/Center (Physical Therapy)
604 DAVIS ST
EVANSTON, IL 60201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053012898, enumerated as an "organization" on March 16, 2023.

The provider is located at 604 DAVIS ST EVANSTON, IL 60201 and the phone number is (847) 287-2659.

Clinic/Center with taxonomy code 261QP2000X and a focus in Physical Therapy.