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RESTORE VITALITY CENTER
NPI 1447767181
Internal Medicine - Addiction Medicine in Phoenix, AZ

Active since January 03, 2018
8133 W HEATHERBRAE DR, PHOENIX, AZ 85033(602) 814-2559 Get Directions Write a Review

NPPES record last updated: January 3, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Restore Vitality Center NPPES

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

RESTORE VITALITY CENTER (NPI 1447767181) is a healthcare organization registered as an addiction medicine in Phoenix, Arizona and active in the NPI registry since January 2018. The organization lists Michael Nelson, Owner/member, as its authorized official.

NPPES Registry Identity

NPI1447767181
Entity TypeOrganization
Primary Taxonomy207RA0401X
Legal Business NameRESTORE VITALITY CENTER
Location Address8133 W HEATHERBRAE DRPhoenix, AZ 85033-2336
Mailing Address8133 W Heatherbrae DrPhoenix, AZ 85033-2336 · (602) 814-2559
Phone(602) 814-2559
Organization SubpartNo
Authorized OfficialMichael NelsonOwner/member · (602) 814-2559
Enumeration DateJanuary 3, 2018
✔ NPI 1447767181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
Also ListedNutritionist · Nutrition, EducationTaxonomy 133NN1002X
Also ListedElectrodiagnostic MedicineTaxonomy 204R00000X
Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedPhysical Medicine & Rehabilitation · Neuromuscular MedicineTaxonomy 2081N0008X
8133 W HEATHERBRAE DR, Phoenix, AZ 85033
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Other Names 1

Doing Business AsRestore Vitality Center

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 Vitality Center's NPI number?

The NPI number for Restore Vitality Center is 1447767181. It was assigned to this organization in the NPPES registry on January 3, 2018.

Where is Restore Vitality Center located?

Restore Vitality Center is located at 8133 W Heatherbrae Dr, Phoenix, AZ 85033. The listed phone number is (602) 814-2559.

What is Restore Vitality Center's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

When was this NPI record last updated?

The NPPES record for Restore Vitality Center was last updated on January 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.