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RESTORE FUNCTIONAL RESTORATION, LLC
NPI 1952716698
Clinic/Center - Rehabilitation in Phoenix, AZ

Active since June 20, 2014
20002 N 19TH AVE # B100, PHOENIX, AZ 85027(602) 714-1408(888) 468-7614 Get Directions Write a Review

NPPES record last updated: June 20, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Restore Functional Restoration, Llc NPPES

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

RESTORE FUNCTIONAL RESTORATION, LLC (NPI 1952716698) is a healthcare organization registered as a rehabilitation in Phoenix, Arizona and active in the NPI registry since June 2014. The organization lists Amy Richter Bode, Owner/coo, as its authorized official.

NPPES Registry Identity

NPI1952716698
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NameRESTORE FUNCTIONAL RESTORATION, LLC
Location Address20002 N 19TH AVE # B100Phoenix, AZ 85027-4250
Mailing Address20002 N 19th Ave # B100Phoenix, AZ 85027-4250 · (602) 714-1408 · Fax (888) 468-7614
Phone(602) 714-1408
Fax(888) 468-7614
Organization SubpartNo
Authorized OfficialAmy Richter BodeOwner/coo · (602) 403-9711
Enumeration DateJune 20, 2014
✔ NPI 1952716698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
20002 N 19TH AVE # B100, Phoenix, AZ 85027
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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 Functional Restoration, LLC's NPI number?

The NPI number for Restore Functional Restoration, LLC is 1952716698. It was assigned to this organization in the NPPES registry on June 20, 2014.

Where is Restore Functional Restoration, LLC located?

Restore Functional Restoration, LLC is located at 20002 N 19th Ave # B100, Phoenix, AZ 85027. The listed phone number is (602) 714-1408.

What is Restore Functional Restoration, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

When was this NPI record last updated?

The NPPES record for Restore Functional Restoration, LLC was last updated on June 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.