Organization Active NPI

Pure Inc

  • Physical Therapist
  • Coeur D Alene, ID
National Provider Identifier
1083809008
Registry record updated Jan 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT1746 Issued in ID
Legal business name
PURE INC
Practice address
3655 N Government Way
Suite 3
Coeur D Alene, ID 83815-8332
Phone
(208) 691-8888
NPI assigned
Sep 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2010

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

Authorized official

Name
Peter J Faletto, PT
Title
Owner/President
Phone
(208) 691-8888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT1746 ID Primary

Addresses

Primary practice location

3655 N Government Way
Suite 3
Coeur D Alene, ID 83815-8332

Mailing address

3655 N Government Way
Suite 3
Coeur D Alene, ID 83815-8332
Phone (208) 691-8888

Other identifiers 1

IdentifierTypeStateIssuer
PT1746OtherIDSTATE LISCENSE

National Provider Directory

National Provider Directory

Locations

3655 N Government Way
Ste 3
Coeur D Alene, ID 83815
Phone (208) 691-8888

NPI Registry JSON

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263600000000",
    "number": "1083809008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3655 N GOVERNMENT WAY",
            "address_2": "SUITE 3",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838158332",
            "telephone_number": "208-691-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 N GOVERNMENT WAY",
            "address_2": "SUITE 3",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838158332",
            "telephone_number": "208-691-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2010-01-16",
        "status": "A",
        "authorized_official_last_name": "FALETTO",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "208-691-8888",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT1746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LISCENSE",
            "identifier": "PT1746",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur D Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2010; 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.