ANGELA MARIA RESTIVO LMT
NPI 1699284661
Neuromusculoskeletal Medicine, Sports Medicine in St Augustine, FL
- Individual
- Female
- Neuromusculoskeletal Medicine, Sports Me...
About ANGELA RESTIVO
This page provides the complete NPI Profile along with additional information for Angela Restivo, a provider established in St Augustine, Florida with a medical specialization in Neuromusculoskeletal Medicine, Sports Medicine. The healthcare provider is registered in the NPI registry with number 1699284661 assigned on September 2017. The practitioner's primary taxonomy code is 204C00000X with license number MA85843 (FL). The provider is registered as an individual and her NPI record was last updated 9 years ago.
- NPI
- 1699284661 Verify this NPI
- Provider Name
- ANGELA MARIA RESTIVO LMT
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2180 A1A S ST AUGUSTINE, FL 32080
- Location Phone
- (443) 257-3085
- Mailing Address
- 110 2ND ST ST AUGUSTINE, FL 32080
- Mailing Phone
- (443) 257-3085
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 09-21-2017
- Last Update Date
- 09-21-2017
- Code Navigator
Location Map
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
Neuromusculoskeletal Medicine, Sports Medicine
- Taxonomy Code
- 204C00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MA85843
- License State
- FL
- Taxonomy Description
- A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation. Source: American Osteopathic Association Additional Resources: AOA Osteopathic Board Certification in Neuromusculoskeletal Medicine; https://certification.osteopathic.org/sports-medicine/
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Other Providers at the Same Location
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699284661, enumerated as an "individual" on September 21, 2017.
The provider is located at 2180 A1A S ST AUGUSTINE, FL 32080 and the phone number is (443) 257-3085.
Neuromusculoskeletal Medicine, Sports Medicine with taxonomy code 204C00000X.