Provider Demographics
NPI:1235267832
Name:RESTORATIVE CONCEPTS LLC
Entity Type:Organization
Organization Name:RESTORATIVE CONCEPTS LLC
Other - Org Name:RESTORATIVE CONCEPTS PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LICENSED PHYSICAL THERAPIST & OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PRISCILLA
Authorized Official - Middle Name:
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:LPT
Authorized Official - Phone:419-868-7378
Mailing Address - Street 1:1058 CLARK ST STE D1
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:OH
Mailing Address - Zip Code:43528-7950
Mailing Address - Country:US
Mailing Address - Phone:419-868-7378
Mailing Address - Fax:419-868-7390
Practice Address - Street 1:1058 CLARK ST STE D1
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:OH
Practice Address - Zip Code:43528-7950
Practice Address - Country:US
Practice Address - Phone:419-868-7378
Practice Address - Fax:419-868-7390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH06381225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH373805127-002OtherMMOH
OH373805127-00OtherPARAMOUNT WC #
OH1942200704OtherNPI-PRISCILLA TURNER LPT
OH0160617164OtherHEALTH CARE PROVIDERS
OH=========0A00OtherANTHEM BCBS PRACTICE #
OH=========00OtherBWC #
OH1942200704OtherNPI-PRISCILLA TURNER LPT
OH373805127-00OtherPARAMOUNT WC #