Active NPI
Therapeutic Associates Inc
- Rehabilitation Clinic/Center
- Post Falls, ID
National Provider Identifier
1093960486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- THERAPEUTIC ASSOCIATES INC
- Practice address
- 925 E Polston Ave
Suite B
Post Falls, ID 83854-9049 - Phone
- (208) 777-8273
- Fax
- (208) 777-8275
- NPI assigned
- Nov 26, 2008
- 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
- Mr. Todd Gifford, MS, PT
- Title
- Director of Tai Systems
- Phone
- (800) 219-8835
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | OR | Primary |
Addresses
Primary practice location
925 E Polston Ave
Suite B
Post Falls, ID 83854-9049
Mailing address
11481 SW Hall Blvd
Suite 201
Portland, OR 97223-8403
Phone (800) 219-8835
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093960486-004 | Medicaid | ID | |
| 1093960486 | Medicaid | WA |
Other names 1
- TAI - Post Falls Physical Therapy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040515000415 | ID | Part B Supplier - Clinic/Group Practice | 0042116279 |
Receives reassigned benefits from 34 practitioners 7 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Boise, ID; Nampa, ID; Meridian, ID; Eagle, ID |
Other NPIs on the same Medicare enrollment 7
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684713600000",
"number": "1093960486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11481 SW HALL BLVD",
"address_2": "SUITE 201",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972238403",
"telephone_number": "800-219-8835",
"fax_number": "503-639-9699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 E POLSTON AVE",
"address_2": "SUITE B",
"city": "POST FALLS",
"state": "ID",
"postal_code": "838549049",
"telephone_number": "208-777-8273",
"fax_number": "208-777-8275"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THERAPEUTIC ASSOCIATES INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-26",
"last_updated": "2023-05-22",
"certification_date": "2023-05-22",
"status": "A",
"authorized_official_last_name": "GIFFORD",
"authorized_official_first_name": "TODD",
"authorized_official_title_or_position": "DIRECTOR OF TAI SYSTEMS",
"authorized_official_telephone_number": "800-219-8835",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MS, PT"
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": "OR",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1093960486-004",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1093960486",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "TAI - Post Falls Physical Therapy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "TAI - Post Falls Physical Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}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 May 22, 2023; 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.