RESTORE PHYSICAL THERAPY INC.
NPI 1093875866
Clinic/Center - Physical Therapy in Collins, MS

Active since December 11, 2006
10 MELODY LN, COLLINS, MS 39428(601) 765-2900(601) 765-2903 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Restore Physical Therapy Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RESTORE PHYSICAL THERAPY INC. (NPI 1093875866) is a healthcare organization registered as a physical therapy in Collins, Mississippi and active in the NPI registry since December 2006. The organization lists John H. Rayborn, President, as its authorized official.

NPPES Registry Identity

NPI1093875866
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameRESTORE PHYSICAL THERAPY INC.
Location Address10 MELODY LNCollins, MS 39428-9002
Mailing Address10 Melody LnCollins, MS 39428-9002 · (601) 765-2900 · Fax (601) 765-2903
Fax(601) 765-2903
Organization SubpartNo
Authorized OfficialJohn H. RaybornPresident · (601) 765-2900
Enumeration DateDecember 11, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1093875866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
Definition
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.
10 MELODY LN, Collins, MS 39428

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Restore Physical Therapy Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMississippiEnrollment IDO20070328000436Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Restore Physical Therapy Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Therapist in Private Practice
NPI 1386668259
10 MELODY LN
Collins, MS 39428
(601) 765-2900
✔ Accepts Medicare2.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Restore Physical Therapy Inc.'s NPI number?

The NPI number for Restore Physical Therapy Inc. is 1093875866. It was assigned to this organization in the NPPES registry on December 11, 2006.

Where is Restore Physical Therapy Inc. located?

Restore Physical Therapy Inc. is located at 10 Melody Ln, Collins, MS 39428. The listed phone number is (601) 765-2900.

What is Restore Physical Therapy Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Is Restore Physical Therapy Inc. enrolled in Medicare?

Yes. Restore Physical Therapy Inc. is registered in the Medicare PECOS enrollment system.

When is Restore Physical Therapy Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Mississippi, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Restore Physical Therapy Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Restore Physical Therapy Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Restore Physical Therapy Inc. accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Restore Physical Therapy Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Restore Physical Therapy Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.