Individual provider Active NPI

Kristoff Joseph Saurette, PT

  • Physical Therapist
  • Hayden, ID
National Provider Identifier
1275769218
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-5779 Issued in ID
Practice address
8827 N Government Way Unit 102
Hayden, ID 83835-8231
Phone
(208) 243-9335
Fax
(208) 475-6454
NPI assigned
Jun 4, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT-5779 ID Primary
Mechanotherapist 172M00000X MA 60074750 WA

Addresses

Primary practice location

8827 N Government Way Unit 102
Hayden, ID 83835-8231

Mailing address

8827 N Government Way Unit 102
Hayden, ID 83835-8231
Phone (208) 243-9335

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180702001781 ID Practitioner - Physical Therapist in Private Practice 1052667201 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shellman Inc PAGroup PAC ID 4981592938, 45 clinicians
Elevated Physical Therapy and Wellness LLCGroup PAC ID 7618339359, 4 clinicians

Practice addresses (Care Compare)

1551 E Mullan Ave
Suite 102
Post Falls, ID 83854-9005
Phone (208) 773-8111

8827 N Government Way
Unit 102
Hayden, ID 83835-8231
Phone (208) 243-9335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MA 60074750WAMDMechanotherapist
PT-5779IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elevated Physical Therapy and Wellness LLC Physical Therapist CurrentSince May 18, 2026 Accepting new patients
Shellman Inc PA Physical Therapist CurrentSince Jun 1, 2018 Accepting new patients

Locations

1917 N Lakewood Dr
Coeur D Alene, ID 83814
Phone (208) 664-8194

8827 N Government Way
Unit 102
Hayden, ID 83835
Phone (208) 243-9335

1172 W Hayden Ave
Hayden, ID 83835
Phone (208) 762-3332

1610 E Schneidmiller Ave
Post Falls, ID 83854
Phone (208) 618-6070

1551 E Mullan Ave
Ste 102
Post Falls, ID 83854
Phone (208) 262-2328

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1244073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1275769218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8827 N GOVERNMENT WAY UNIT 102",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838358231",
            "telephone_number": "208-243-9335",
            "fax_number": "208-475-6454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8827 N GOVERNMENT WAY UNIT 102",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838358231",
            "telephone_number": "208-243-9335",
            "fax_number": "208-475-6454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAURETTE",
        "first_name": "KRISTOFF",
        "middle_name": "JOSEPH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-04",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-5779",
            "primary": true
        },
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "WA",
            "license": "MA 60074750",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayden, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.