Organization Active NPI

Restoration Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Bonners Ferry, ID
National Provider Identifier
1093465015
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
RESTORATION PHYSICAL THERAPY, LLC
Practice address
33 Enterprise Dr Ste 101
Bonners Ferry, ID 83805-6266
Phone
(208) 597-7250
Fax
(208) 550-3752
NPI assigned
Mar 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joshua Kaufmann, PHYSICAL THERAPISTNPI 1033415187
Title
Owner
Phone
(208) 597-7250

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

33 Enterprise Dr Ste 101
Bonners Ferry, ID 83805-6266

Mailing address

33 Enterprise Dr Ste 101
Bonners Ferry, ID 83805-6266
Phone (208) 597-7250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220630000103 ID Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4688054182 Receives reassigned benefits from 2 practitioners
Practice locations: Bonners Ferry, ID

National Provider Directory

National Provider Directory

Locations

33 Enterprise Dr
Bonners Ferry, ID 83805

33 Enterprise Dr
Ste 101
Bonners Ferry, ID 83805
Phone (208) 597-7250

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766448000000",
    "number": "1093465015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 ENTERPRISE DR STE 101",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838056266",
            "telephone_number": "208-597-7250",
            "fax_number": "208-550-3752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 ENTERPRISE DR STE 101",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838056266",
            "telephone_number": "208-597-7250",
            "fax_number": "208-550-3752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-24",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A",
        "authorized_official_last_name": "KAUFMANN",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-597-7250",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonners Ferry, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.