Active NPI
Pure Inc
- Physical Therapist
- Coeur D Alene, ID
National Provider Identifier
1083809008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT1746
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT1746 | Other | ID | STATE LISCENSE |
National Provider Directory
National Provider DirectoryLocations
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.