# RESTORATIVE PAIN INSTITUTE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174322309
- **Authorized official:** TIMOTHY JAMES BEACHAM (OWNER)
- **Authorized official phone:** (502) 515-4901

## Contact information

- **Practice address:** 4201 SPRINGHURST BLVD STE 102, LOUISVILLE, KY 40241-6156
- **Practice address phone:** (502) 515-6090
- **Mailing address:** 4201 SPRINGHURST BLVD STE 102, LOUISVILLE, KY 40241-6156

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 03/11/2025
- **Last updated:** 04/23/2025