Selkirk Physical Therapy, PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SELKIRK PHYSICAL THERAPY, PC

Practice address

606 N Fifth Ave
Sandpoint, ID 83864-1520

Phone

(208) 297-1570

Fax

(208) 593-3097

NPI assigned

Feb 24, 2025

Last updated

Feb 24, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kenneth G Fischer, DPTNPI 1235655523

Title

Owner

Phone

(208) 297-1570

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth Garrett Fischer, DPT

  • Physical Therapist
  • Sandpoint, ID
  • NPI 1235655523
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1740355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740355200000",
    "number": "1063218444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "483 WOODLAND DR",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838647211",
            "telephone_number": "815-980-0269",
            "fax_number": "208-593-3097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 N FIFTH AVE",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641520",
            "telephone_number": "208-297-1570",
            "fax_number": "208-593-3097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELKIRK PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A",
        "authorized_official_last_name": "FISCHER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-297-1570",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Seastone, DPT
• Shannon Marie Seckel, DO
• Rachel Anne Seitz, PHARMD
• Selkirk Family Medicine & Womens Health PLLC
• Selkirk General Surgery
• Sequel Alliance Family Services, LLC
• Sequel Alliance Family Services, LLC
• Seven Peaks Counseling, PLLC
• Dwayne Earl Sheffler
• Jacalyn Siemer, CRNFA

• Physical Therapist in Sandpoint, ID
• Providers in Sandpoint, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.