Mark Restivo is a Rehabilitation in Athens, Georgia. Mark Restivo practices all healthcare services and medical treatments related to Rehabilitation. The NPI Number for Mark Restivo is 1588877468. The last update date is 2016-11-30.
Mark Restivo's current location address is 101 Cedar Rock Trace, Athens, Georgia. You can contact this provider via phone number 7063671208. The mailing address for Mark Restivo is 101 Cedar Rock Trace, Athens, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Restivo |
|---|---|
| Address | 101 Cedar Rock Trace, Athens, Georgia |
| Phone Number | 7063671208 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DC NMT |
NPI Number Detail
| NPI Number | 1588877468 |
|---|---|
| Provider Enumeration Date | 2007-05-08 |
| Last Updated Date | 2016-11-30 |
Provider Mailing Address Detail
| Address | 101 Cedar Rock Trace |
|---|---|
| City | Athens |
| State | Georgia (GA) |
| Post Code | 306053217 |
| Phone Number | 7063671208 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Rehabilitation |
|---|---|
| Taxonomy | 111Nr0400X |
| Licence No | CHIROO7190 |
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Definition: Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10736948 | GA | SECONDARY TAX ID |
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What is the unique 10-digit identification code issued to Mark Restivo by the Centers for Medicare & Medicaid Services?
The Mark Restivo has been assigned the NPI (National Provider Identifier) 1588877468 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Mark Restivo's facilities are situated?
The facilities of Mark Restivo are physically located at the following address: 101 Cedar Rock Trace, Athens, GA, 306053217.
What is the Mark Restivo's specialty and taxonomy code?
The Mark Restivo's specialty is Rehabilitation, and the corresponding taxonomy code is 111Nr0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1588877468 to Mark Restivo?
The Centers for Medicare & Medicaid Services originally issued the 1588877468 to Mark Restivo on 2007-05-08.
When was the information related to Mark Restivo most recently updated or refreshed?
The details pertaining to the Mark Restivo, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-11-30.
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