Healthcare Provider Details

I. General information

NPI: 1093478729
Provider Name (Legal Business Name): RESTORED HOPE THERAPY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2021
Last Update Date: 01/27/2026
Certification Date: 01/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8594 PARK DR
MOUNT PLEASANT NC
28124-8402
US

IV. Provider business mailing address

10685 FINK RD
MOUNT PLEASANT NC
28124-7610
US

V. Phone/Fax

Practice location:
  • Phone: 980-290-7311
  • Fax: 704-665-5691
Mailing address:
  • Phone: 980-290-7311
  • Fax: 704-665-5691

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: JEANNIE MARIE BURGESS
Title or Position: OWNER/OCCUPATIONAL THERAPIST
Credential:
Phone: 980-290-7311