Restorative Physical Therapy – Physical Therapist, NPI 1336960301

Restorative Physical Therapy is a healthcare provider. based in Wellborn, Texas. specializing in Physical Therapist. The NPI Number for Restorative Physical Therapy is 1336960301

Main info

Organization
Name
Restorative Physical Therapy
NPI
1336960301
Phone
Not provided
Address
PO BOX 55
Authorized Official
DR. KATIE DAVENPORT PHYSICAL THERAPIST PT, DPT, COMT
Enumeration Date
22 October 2024
Last Update Date
29 October 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness80
Years active:1State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Restorative Physical Therapy

  • PO BOX 55

    WELLBORN, TX 778810055

    Phone:

    Type: Mailing

  • 2714 OSLER BLVD

    BRYAN, TX 778022517

    Phone: (979) 776-2225

    Fax: (979) 776-7945

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-01-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20250116000049OPhysical/Occupational Therapy Group In Private PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77881)

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Reviews

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Frequently asked questions

Is Restorative Physical Therapy listed with a National Provider Identifier?
Yes — Restorative Physical Therapy has NPI 1336960301 on file in the registry.
Active or inactive — what applies to Restorative Physical Therapy?
You should see Restorative Physical Therapy as active in CMS-hosted NPPES data.
What area of care is associated with Restorative Physical Therapy?
Restorative Physical Therapy's record emphasizes Physical Therapist. Clinical services aligned with this taxonomy classification.
Where in Texas is Restorative Physical Therapy registered?
Use Wellborn, Texas as the headline location for Restorative Physical Therapy here.
When was this NPI issued?
Enumeration for Restorative Physical Therapy is noted as October 22, 2024 where the registry provides it.

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