RESTORE BRAIN SPORT AND SPINE
NPI 1376378091
Physical Medicine & Rehabilitation - Pain Medicine in Tampa, FL

Q: What is Restore Brain Sport And Spine's NPI number?

The NPI number for Restore Brain Sport And Spine is 1376378091. It was assigned to this organization in the NPPES registry on September 3, 2024.

Q: What is Restore Brain Sport And Spine's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Active since September 03, 2024

11603 SHELDON ROAD, TAMPA, FL 33626(516) 680-8080 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 25, 2025, Nov 12, 2024, Sep 3, 2024 (3 updates tracked since 2024).

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About Restore Brain Sport And Spine NPPES

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

RESTORE BRAIN SPORT AND SPINE (NPI 1376378091) is a healthcare organization registered as a pain medicine in Tampa, Florida and active in the NPI registry since September 2024. The organization maintains a secondary practice location in Tavares and lists Thomas Reilly, Ceo, as its authorized official.

NPPES Registry Identity

NPI1376378091

Entity TypeOrganization

Primary Taxonomy2081P2900X

Legal Business NameRESTORE BRAIN SPORT AND SPINE

Location Address11603 SHELDON ROADTampa, FL 33626

Mailing Address11603 Sheldon RdTampa, FL 33626-4306 · (727) 935-4142

Phone(516) 680-8080

Organization SubpartNo

Authorized OfficialThomas ReillyCeo · (516) 680-8080

Enumeration DateSeptember 3, 2024

Last NPPES UpdateMarch 25, 20253 updates tracked since enumeration

NPPES CertifiedMarch 25, 2025

✔ NPI 1376378091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2081P2900X

Definition

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

11603 SHELDON ROAD, Tampa, FL 33626

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Secondary Practice Location 1

Location 12134 Vindale RdTavares, FL 32778-5602 · Phone (727) 935-4142 · Fax (727) 877-3667

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Restore Brain Sport And Spine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Restore Brain Sport And Spine, which bills Medicare for the services this clinician delivers.

Clinician (1)

Thomas Reilly, MD

Physical Medicine and Rehabilitation

NPI 1750574299

11603 SHELDON RD RESTORE BRAIN SPORT AND SPINE
Tampa, FL 33626

(516) 680-8080

✔ PECOS✔ Accepts MedicareSame address

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 Brain Sport And Spine's NPI number?

The NPI number for Restore Brain Sport And Spine is 1376378091. It was assigned to this organization in the NPPES registry on September 3, 2024.

Where is Restore Brain Sport And Spine located?

Restore Brain Sport And Spine is located at 11603 Sheldon Road, Tampa, FL 33626. The listed phone number is (516) 680-8080.

What is Restore Brain Sport And Spine's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Restore Brain Sport And Spine enrolled in Medicare?

Yes. Restore Brain Sport And Spine is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Restore Brain Sport And Spine?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Medicine and Rehabilitation) reassigns their Medicare billing to Restore Brain Sport And Spine. 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.

When was this NPI record last updated?

The NPPES record for Restore Brain Sport And Spine was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.