JKL RESTORATIVE PLLC
NPI 1912777624
Physical Medicine & Rehabilitation in Mesa, AZ
About Jkl Restorative Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JKL RESTORATIVE PLLC (NPI 1912777624) is a healthcare organization registered as a physical medicine & rehabilitation in Mesa, Arizona and active in the NPI registry since January 2024. The organization lists John Lopez, Owner & Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jkl Restorative Pllc 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 Jkl Restorative PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Jkl Restorative PLLC's NPI number?
The NPI number for Jkl Restorative PLLC is 1912777624. It was assigned to this organization in the NPPES registry on January 3, 2024.
Where is Jkl Restorative PLLC located?
Jkl Restorative PLLC is located at 5652 E Baseline Rd, Mesa, AZ 85206. The listed phone number is (480) 567-0350.
What is Jkl Restorative PLLC's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.
Is Jkl Restorative PLLC enrolled in Medicare?
Yes. Jkl Restorative PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jkl Restorative PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Medicine and Rehabilitation) reassigns their Medicare billing to Jkl Restorative PLLC. 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 Jkl Restorative PLLC was last updated on January 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.