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General NPI Number Information
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NPI Number | 1184513830
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Entity Type | Organization
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Legal Business Name | RESTORATIVE THERAPY SOLUTIONS
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Dates
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Enumeration Date | 06/30/2025
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 5594 E 146TH ST STE 205
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City | NOBLESVILLE
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State | IN
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Zip | 46062-7070
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Country | US
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Telephone | 219-218-0782
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Fax |
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Provider Business Mailing Address
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Address Line | 9415 N KENWOOD AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-1442
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Country | US
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Telephone | 219-218-0782
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Fax |
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Authorized Official
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Title or Position | SPEECH PATHOLOGIST, OWNER
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Name | KAITLIN PENNINGTON
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Credential | M.S., CCC-SLP
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Telephone | 219-218-0782
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251T00000X
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Taxonomy Name | PACE Provider Organization
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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