Didier Louis Balcaen, R.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1202 Issued in ID

Practice address

33 Enterprise Dr Ste 101
Bonners Ferry, ID 83805-6266

Phone

(208) 597-7250

Fax

(208) 550-3752

NPI assigned

Aug 16, 2023

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Restoration Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Bonners Ferry, ID
  • NPI 1093465015

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1013790658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "474 STONEY TRAIL RD",
            "city": "NAPLES",
            "state": "ID",
            "postal_code": "838475038",
            "telephone_number": "208-267-6460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 ENTERPRISE DR STE 101",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838056266",
            "telephone_number": "208-597-7250",
            "fax_number": "208-550-3752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALCAEN",
        "first_name": "DIDIER",
        "middle_name": "LOUIS",
        "name_prefix": "Mr.",
        "credential": "R.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ace Elder Care
• Alliance Family Services North, Inc.
• Alliance Family Services North, Inc.
• Art of Redirection Counseling
• Mark R Barker, OD
• Heather Bartlett, APRN -PMHNP
• Katherine Ann Beal, RN
• Douglas James Beazer, D.M.D.
• Laura Marie Beazer, LMSW

• Physical Therapist in Bonners Ferry, ID
• Providers in Bonners Ferry, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.