Organization Active NPI

Restore 360 Physical Therapy, LLC

  • Physical Therapist
  • Union, MO
National Provider Identifier
1184534935
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
RESTORE 360 PHYSICAL THERAPY, LLC
Practice address
1242 Clearview Rd
Union, MO 63084-3107
Phone
(636) 628-2425
NPI assigned
Sep 11, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Authorized official

Name
Kristen Brueggemann, MPT
Title
Owner/ Physical Therapist
Phone
(314) 623-5161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1242 Clearview Rd
Union, MO 63084-3107

Mailing address

4825 Door Ford Rd
Beaufort, MO 63013-1717

NPI Registry JSON

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

{
    "created_epoch": "1789084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789084800000",
    "number": "1184534935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4825 DOOR FORD RD",
            "city": "BEAUFORT",
            "state": "MO",
            "postal_code": "630131717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1242 CLEARVIEW RD",
            "city": "UNION",
            "state": "MO",
            "postal_code": "630843107",
            "telephone_number": "636-628-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE 360 PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-11",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A",
        "authorized_official_last_name": "BRUEGGEMANN",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "OWNER/ PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "314-623-5161",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.