Individual provider Active NPI

Ben John Baarspul, PHYSICAL THERAPIST

  • Physical Therapist
  • Post Falls, ID
National Provider Identifier
1063522928
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-7564 Issued in ID
Practice address
238 S Sequoia St
Post Falls, ID 83854-9839
Phone
(503) 704-2150
NPI assigned
Aug 30, 2006
Last updated
Nov 22, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT-7564 ID Primary

Addresses

Primary practice location

238 S Sequoia St
Post Falls, ID 83854-9839

Mailing address

238 S Sequoia St
Post Falls, ID 83854-9839
Phone (037) 042-1505

Other identifiers 1

IdentifierTypeStateIssuer
1063522928MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210930000843 ID Practitioner - Physical Therapist in Private Practice 2769481217 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
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)

1917 N Lakewood Dr
Coeur D Alene, ID 83814-2634
Phone (208) 664-8194

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
River City Physical Therapy Physical Therapist CurrentSince Oct 1, 2022 Accepting new patients
Shellman Inc PA Physical Therapist CurrentSince Sep 26, 2023 Accepting new patients
Scott Randklev Physical Therapy P.a. Physical Therapist CurrentSince Oct 1, 2022 Accepting new patients
J and D Physical Therapy Services Physical Therapist Past Accepting new patients
North Lake Physical Therapy and Rehabilitation, Inc. Physical Therapist Past Accepting new patients
NW Physical Therapy Specialists Physical Therapist PastSince Mar 5, 2016 Accepting new patients
Walton Physical Therapy & Sports Medicine Inc Physical Therapist PastSince Apr 12, 2004 Accepting new patients
Gateway Sports Medicine & Rehabilitation PC Physical Therapist PastSince Sep 23, 2018 Accepting new patients

Locations

1917 N Lakewood Dr
Coeur D Alene, ID 83814
Phone (208) 664-8194

370 E Kathleen Ave
Ste 500
Coeur D Alene, ID 83815
Phone (208) 292-1372

1172 W Hayden Ave
Hayden, ID 83835
Phone (208) 762-3332

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1063522928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 S SEQUOIA ST",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838549839",
            "telephone_number": "037-042-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 S SEQUOIA ST",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838549839",
            "telephone_number": "503-704-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAARSPUL",
        "first_name": "BEN",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-7564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063522928",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Post Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.