Restore Physical Therapy PC
NPI 1790236511 · Physical Therapist · Boise, ID
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Restore Physical Therapy PC is a Physical Therapist organization in Boise, ID (NPI 1790236511).
Provider details
- NPI number
- 1790236511
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Sarah Graham, Owner(208) 501-8264
- License
- PT-1804 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 16211 N Brinson St Ste 220Nampa, ID 83687-5525Phone: (208) 936-2522Fax: (208) 936-2523
Registry dates
- Enumerated
- 2016-10-17
- Last updated
- 2024-01-10
- Certified
- 2024-01-10
Frequently asked questions
- What is Restore Physical Therapy PC's NPI number?
- Restore Physical Therapy PC's National Provider Identifier (NPI) is 1790236511, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Restore Physical Therapy PC?
- Restore Physical Therapy PC is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Restore Physical Therapy PC located?
- Restore Physical Therapy PC's practice location on file with NPPES is 5418 N Eagle Rd, Boise, ID 83713-0998.
- What is Restore Physical Therapy PC's phone number?
- The practice phone number listed in the NPPES registry for Restore Physical Therapy PC is (208) 501-8264.
- Does Restore Physical Therapy PC accept Medicare?
- Restore Physical Therapy PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Restore Physical Therapy PC?
- The authorized official listed on Restore Physical Therapy PC's NPPES record is Sarah Graham, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Restore Physical Therapy PC's NPI active?
- Yes — Restore Physical Therapy PC's NPI (1790236511) is active in the NPPES registry as of the last update on 2024-01-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.