Organization Active NPI

Christina M Rust DPT & Associates PC

  • Physical Therapist
  • Sandpoint, ID
National Provider Identifier
1043330756
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT1097 Issued in ID
Legal business name
CHRISTINA M RUST DPT & ASSOCIATES PC
Practice address
801 Pine St Ste 2
Sandpoint, ID 83864-1682
Phone
(208) 290-2856
Fax
(208) 290-2856
NPI assigned
Mar 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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

Authorized official

Name
Christina Marie Rust, DPT, PA-C
Title
Owner/ Physical Therapist
Phone
(208) 290-2856

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT1097 ID Primary

Addresses

Primary practice location

801 Pine St Ste 2
Sandpoint, ID 83864-1682

Mailing address

801 Pine St Ste 2
Sandpoint, ID 83864-1682
Phone (208) 290-2856

Other practice location 1

913 W Canfield Ave
Coeur D Alene, ID 83815-9764
Phone (208) 290-2856

Other identifiers 5

IdentifierTypeStateIssuer
10510026OtherIDREGENCE OF IDAHO
805048700MedicaidID
TD058OtherIDBLUE CROSS IDAHO
0200479OtherWADEPT OF L&I WASHINGTON
DE6511OtherIDRAILROAD MEDICARE NUMBER

Other names 1

  • 7BWell Medicine Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL WEBPT Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

1301 N Division Ave
Sandpoint, ID 83864
Phone (208) 263-1345

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619395200000",
    "number": "1043330756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 PINE ST STE 2",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641682",
            "telephone_number": "208-290-2856",
            "fax_number": "208-290-2856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 PINE ST STE 2",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641682",
            "telephone_number": "208-290-2856",
            "fax_number": "208-290-2856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "913 W Canfield Ave",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838159764",
            "country_code": "US",
            "telephone_number": "208-290-2856",
            "fax_number": "208-290-2856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHRISTINA M RUST DPT & ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A",
        "authorized_official_last_name": "RUST",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/ PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "208-290-2856",
        "authorized_official_credential": "DPT, PA-C"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT1097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE OF IDAHO",
            "identifier": "10510026",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805048700",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS IDAHO",
            "identifier": "TD058",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF L&I WASHINGTON",
            "identifier": "0200479",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE NUMBER",
            "identifier": "DE6511",
            "state": "ID"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WEBPT",
            "affiliation": "N",
            "endpointDescription": "software",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "801 Pine St Ste 2",
            "city": "Sandpoint",
            "state": "ID",
            "country_code": "US",
            "postal_code": "838641682",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "7BWell Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "7BWell Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sandpoint, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.