NPIMap

Organization Active NPI

Institute of Physical Therapy and Fitness

  • Physical Therapist
  • Lewiston, ID
National Provider Identifier
1043392087
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
INSTITUTE OF PHYSICAL THERAPY AND FITNESS
Practice address
678 Southway Ave
Lewiston, ID 83501-3783
Phone
(208) 746-1418
Fax
(208) 746-4123
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

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

Authorized official

Name
Mrs. Peggy E Ohman
Title
Business Manager
Phone
(208) 746-1418

Specialties & licenses 1

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

Addresses

Primary practice location

678 Southway Ave
Lewiston, ID 83501-3783

Mailing address

678 Southway Ave
Lewiston, ID 83501-3783
Phone (208) 746-1418

Other identifiers 6

IdentifierTypeStateIssuer
8B263OtherIDBCID GROUP
0112038OtherIDWA LI
650006220OtherIDRR MEDICARE
390090OtherIDREGENCE GROUP
1000927OtherIDCHAMPUS/BLUE CROSS
7023864OtherIDWAPA GROUP

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

678 Southway Ave
Lewiston, ID 83501
Phone (208) 746-1418

Practitioners & affiliated clinicians

Practitioners 41

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1043392087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "678 SOUTHWAY AVE",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835013783",
            "telephone_number": "208-746-1418",
            "fax_number": "208-746-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "678 SOUTHWAY AVE",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835013783",
            "telephone_number": "208-746-1418",
            "fax_number": "208-746-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE OF PHYSICAL THERAPY AND FITNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "OHMAN",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "208-746-1418",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCID GROUP",
            "identifier": "8B263",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA LI",
            "identifier": "0112038",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "650006220",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE GROUP",
            "identifier": "390090",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS/BLUE CROSS",
            "identifier": "1000927",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WAPA GROUP",
            "identifier": "7023864",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; 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.