Active NPI
Teri Ann Venera, MPT
- Physical Therapist
- Hayden, ID
National Provider Identifier
1093152969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 8382 N Wayne Dr
Hayden, ID 83835-6028 - Phone
- (208) 758-0484
- Fax
- (208) 485-4781
- NPI assigned
- May 31, 2013
- Last updated
- May 31, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
8382 N Wayne Dr
Hayden, ID 83835-6028
Mailing address
PO Box 3482
Post Falls, ID 83877-3482
Phone (208) 209-6170
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369958400000",
"number": "1093152969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3482",
"city": "POST FALLS",
"state": "ID",
"postal_code": "838773482",
"telephone_number": "208-209-6170",
"fax_number": "208-209-6169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8382 N WAYNE DR",
"city": "HAYDEN",
"state": "ID",
"postal_code": "838356028",
"telephone_number": "208-758-0484",
"fax_number": "208-485-4781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENERA",
"first_name": "TERI",
"middle_name": "ANN",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-31",
"last_updated": "2013-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hayden, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.