Organization Active NPI

Elevated Physical Therapy and Wellness LLC

  • Physical Therapy Clinic/Center
  • Hayden, ID
National Provider Identifier
1932894284
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ELEVATED PHYSICAL THERAPY AND WELLNESS LLC
Practice address
8827 N Government Way Unit 102
Hayden, ID 83835-8231
Phone
(208) 243-9335
NPI assigned
Apr 11, 2023
Last updated
Sep 1, 2026By the provider in NPPES
Organization subpart
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

Authorized official

Name
Kristoff Joseph Saurette, DPTNPI 1275769218
Title
Owner
Phone
(208) 243-9335

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

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

Mailing address

PO Box 397
Hayden, ID 83835-0397
Phone (208) 243-9335

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230814000777 ID Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7618339359 Receives reassigned benefits from 5 practitioners
Practice locations: Hayden, ID

National Provider Directory

National Provider Directory

Locations

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

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

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788220800000",
    "number": "1932894284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 397",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838350397",
            "telephone_number": "208-243-9335"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATED PHYSICAL THERAPY AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-11",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A",
        "authorized_official_last_name": "SAURETTE",
        "authorized_official_first_name": "KRISTOFF",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-243-9335",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.