Provider Demographics
NPI:1063985497
Name:RESTORABILITY
Entity type:Organization
Organization Name:RESTORABILITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:BIBBEE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:954-612-3211
Mailing Address - Street 1:861 SW 21ST ST
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486-6942
Mailing Address - Country:US
Mailing Address - Phone:954-612-3211
Mailing Address - Fax:561-922-6515
Practice Address - Street 1:861 SW 21ST ST
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486-6942
Practice Address - Country:US
Practice Address - Phone:954-612-3211
Practice Address - Fax:561-922-6515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-08
Last Update Date:2019-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty