Nathaniel Jay Delegard, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-8253 Issued in ID

Practice address

1610 E Schneidmiller Ave
Post Falls, ID 83854-7065

Phone

(208) 773-8111

NPI assigned

Jun 15, 2022

Sex

Male

Sole proprietor

Yes

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, WA2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shellman Inc PAGroup PAC ID 4981592938, 45 clinicians

Practice addresses (Care Compare)

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.

• Shellman Inc PA

  • Physical Therapist
  • Coeur D Alene, ID
  • NPI 1326050253

  WA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1043940679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 E SCHNEIDMILLER AVE",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838547065",
            "telephone_number": "208-773-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 E SCHNEIDMILLER AVE",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838547065",
            "telephone_number": "208-773-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELEGARD",
        "first_name": "NATHANIEL",
        "middle_name": "JAY",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-8253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Elizabeth Czeszynski, PT
• Daniel Daley, CPO
• Meggi Davenport, PT
• Brett Davis, D.C.
• Samantha Kaur Dehal, DC
• Marilyn Delgado, MSW, LCSW
• Reese D Delgrande, BA
• Daniel Delonas
• Logan Carole Dempsey
• Destination Occupational Therapy PLLC

• Physical Therapist in Post Falls, ID
• Providers in Post Falls, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.