MEDICARE: RESTORE PHYSICAL THERAPY AND REHAB

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	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1942827944
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESTORE PHYSICAL THERAPY AND REHAB

Provider Business Mailing Address
First Line	:	368 W PIKE ST STE 107
Second Line	:
City	:	LAWRENCEVILLE
State	:	GA
Zip	:	30046-3240
Country	:	US
Telephone Number	:	770-545-8036
Fax Number	:	770-212-2336

Provider Business Practice Location Address
First Line	:	368 W PIKE ST STE 107
Second Line	:
City	:	LAWRENCEVILLE
State	:	GA
Zip	:	30046-3240
Country	:	US
Telephone Number	:	770-545-8036
Fax Number	:	770-212-2336

Authorized Official
Title or Position	:	OWNER
Name	:	MS. SHAHERAH FINDLAY
Credential	:	MPT
Telephone Number	:	770-845-6696

Provider Enumeration Date	:	06/25/2020
Last Update Date	:	09/03/2025

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