Active NPI
Restore 360 Physical Therapy, LLC
- Physical Therapist
- Union, MO
National Provider Identifier
1184534935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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.