Active NPI
Christina M Rust DPT & Associates PC
- Physical Therapist
- Sandpoint, ID
National Provider Identifier
1043330756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT1097
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10510026 | Other | ID | REGENCE OF IDAHO |
| 805048700 | Medicaid | ID | |
| TD058 | Other | ID | BLUE CROSS IDAHO |
| 0200479 | Other | WA | DEPT OF L&I WASHINGTON |
| DE6511 | Other | ID | RAILROAD MEDICARE NUMBER |
Other names 1
- 7BWell Medicine
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | WEBPT | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryLocations
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.