Restoration Physical Therapy, Llc is a medicare enrolled "Clinic/center - Physical Therapy" provider in Bonners Ferry, Idaho. Their current practice location is
33 Enterprise Dr Ste 101, Bonners Ferry, Idaho. You can reach out to their office (for appointments etc.) via phone at
(208) 597-7250.
Restoration Physical Therapy, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Restoration Physical Therapy, Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1093465015.
Healthcare Provider's Profile
| Full Name | Restoration Physical Therapy, Llc |
|---|
| Type | Facility |
|---|
| Speciality | Clinic/center - Physical Therapy |
|---|
| Location | 33 Enterprise Dr Ste 101, Bonners Ferry, Idaho |
|---|
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1093465015
- Provider Enumeration Date: 03/24/2022
- Last Update Date: 12/23/2025
Medicare PECOS Information:
- PECOS PAC ID: 4688054182
- Enrollment ID: O20220630000103
Medical Identifiers
Medical identifiers for Restoration Physical Therapy, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093465015 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Restoration Physical Therapy, Llc acts as a billing entity for following providers:
| Provider Name | Joshua Allen Kaufmann |
|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
|---|
| Provider Identifiers | NPI Number: 1033415187
PECOS PAC ID: 0840473849
Enrollment ID: I20220630000130 |
|---|
| Provider Name | Didier Louis Balcaen |
|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
|---|
| Provider Identifiers | NPI Number: 1013790658
PECOS PAC ID: 9537513643
Enrollment ID: I20230922002950 |
|---|
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Restoration Physical Therapy, Llc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Restoration Physical Therapy, Llc
33 Enterprise Dr Ste 101,
Bonners Ferry, ID 83805-6266
Ph: (208) 597-7250 | Restoration Physical Therapy, Llc
33 Enterprise Dr Ste 101,
Bonners Ferry, ID 83805-6266
Ph: (208) 597-7250 |
Reviews and Comments