OrganizationActive
Restorative Pain Institute
NPI 1871275792 · Interventional Pain Medicine Physician · Louisville, KY
Provider details
- NPI number
- 1871275792
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Timothy Beacham, Owner(502) 515-4903
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pain Medicine (Anesthesiology) Physician207LP2900X
Allopathic & Osteopathic Physicians
Suppliers
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4201 Springhurst Blvd Ste 102
Louisville, KY 40241-6156
Phone: (502) 515-6090
Approximate (ZIP-level) locationGet directions
Mailing address
4201 Springhurst Blvd Ste 102
Louisville, KY 40241-6156
Registry dates
- Enumerated
- 2023-08-01
- Last updated
- 2025-07-28
- Certified
- 2025-07-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.