Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Restore Physical Therapy PC

Organization Physical Therapist · NPI 1790236511

Restore Physical Therapy PC is a Physical Therapist in Boise, Idaho. Works from 2 locations. Licensed in Idaho.

Licensed in
ID
In the registry since
2016
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5418 N Eagle Rd Ste 170
Boise, ID 83713-0998
Phone: (208) 501-8264
Fax: (208) 514-1558
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 16211 N Brinson St Ste 220, Nampa, ID 83687-5525 — (208) 936-2522

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT-1804 (ID)

Record details

NPI number1790236511
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sarah Graham — Owner · (208) 501-8264
NPI enumeratedOctober 17, 2016
Last updated in NPPESJanuary 10, 2024
Certification dateJanuary 10, 2024
Mailing address5418 N Eagle Rd, Suite 170, Boise, ID 83713-0998

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