MEDICARE: RESTORED HOPE THERAPY SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist
2	225X00000X	Occupational Therapist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093478729
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESTORED HOPE THERAPY SERVICES, LLC

Provider Business Mailing Address
First Line	:	10685 FINK RD
Second Line	:
City	:	MOUNT PLEASANT
State	:	NC
Zip	:	28124-7610
Country	:	US
Telephone Number	:	980-290-7311
Fax Number	:	704-665-5691

Provider Business Practice Location Address
First Line	:	8594 PARK DR
Second Line	:
City	:	MOUNT PLEASANT
State	:	NC
Zip	:	28124-8402
Country	:	US
Telephone Number	:	980-290-7311
Fax Number	:	704-665-5691

Authorized Official
Title or Position	:	OWNER/OCCUPATIONAL THERAPIST
Name	:	JEANNIE MARIE BURGESS
Credential	:
Telephone Number	:	980-290-7311

Provider Enumeration Date	:	10/19/2021
Last Update Date	:	01/27/2026

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Directions to “RESTORED HOPE THERAPY SERVICES, LLC ” Practice Location

Language	Start Address	Practice Location

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