RESTORA PHYSICAL THERAPY INC
NPI 1093694598
Clinic/Center - Physical Therapy in Myrtle Creek, OR

Active since August 28, 2025
124 NE BROADWAY ST, MYRTLE CREEK, OR 97457(541) 860-8556 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Restora Physical Therapy Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RESTORA PHYSICAL THERAPY INC (NPI 1093694598) is a healthcare organization registered as a physical therapy in Myrtle Creek, Oregon and active in the NPI registry since August 2025. The organization lists Janet Walden, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1093694598
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameRESTORA PHYSICAL THERAPY INC
Location Address124 NE BROADWAY STMyrtle Creek, OR 97457-9039
Mailing AddressPo Box 6Myrtle Creek, OR 97457-0001 · (541) 860-8556
Organization SubpartNo
Authorized OfficialJanet WaldenPresident & Ceo · (541) 860-8556
Enumeration DateAugust 28, 2025
NPPES CertifiedAugust 28, 2025
✔ NPI 1093694598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
124 NE BROADWAY ST, Myrtle Creek, OR 97457

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Restora Physical Therapy Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Restora Physical Therapy Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Therapist in Private Practice
NPI 1710236427
2401 BERNADETTE DR STE 202
Columbia, MO 65203
(573) 818-3474
✔ Accepts Medicare1,631 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Restora Physical Therapy Inc's NPI number?

The NPI number for Restora Physical Therapy Inc is 1093694598. It was assigned to this organization in the NPPES registry on August 28, 2025.

Where is Restora Physical Therapy Inc located?

Restora Physical Therapy Inc is located at 124 NE Broadway St, Myrtle Creek, OR 97457. The listed phone number is (541) 860-8556.

What is Restora Physical Therapy Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Is Restora Physical Therapy Inc enrolled in Medicare?

Yes. Restora Physical Therapy Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Restora Physical Therapy Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Restora Physical Therapy Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Restora Physical Therapy Inc was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.