Restore Mama Wellness Pllc is a
Physical Therapist based in Round Hill, Virginia. Restore Mama Wellness Pllc is licensed to practice in NU (license number ) and their current practice location is
17095 Statuary Way, Round Hill, Virginia. It can be reached at their office (for appointments etc.) via phone at
(937) 360-7186.
NPI number for Restore Mama Wellness Pllc is 1548103724 and their current mailing address is 17095 Statuary Way, Round Hill, Virginia. Restore Mama Wellness Pllc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1548103724.
Healthcare Provider's Profile
| Full Name | Restore Mama Wellness Pllc |
|---|
| Type | Facility |
|---|
| Speciality | Physical Therapist |
|---|
| Location | 17095 Statuary Way, Round Hill, Virginia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1548103724
- Provider Enumeration Date: 04/13/2026
- Last Update Date: 04/13/2026
Medical Identifiers
Medical identifiers for Restore Mama Wellness Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1548103724 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | (NU) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Restore Mama Wellness Pllc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Restore Mama Wellness Pllc 17095 Statuary Way, Round Hill, VA 20141-4474 Ph: (937) 360-7186 | Restore Mama Wellness Pllc 17095 Statuary Way, Round Hill, VA 20141-4474 Ph: (937) 360-7186 |
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