Organization Active NPI

At Home Physical Therapy PC

  • Physical Therapist
  • Post Falls, ID
National Provider Identifier
1154481455
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1743 Issued in ID
Legal business name
AT HOME PHYSICAL THERAPY PC
Practice address
1459 W Yaquina Dr
Post Falls, ID 83854-5190
Phone
(208) 661-6366
Fax
(208) 773-5653
NPI assigned
Dec 10, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Brett Barna, P.T.NPI 1518913532
Title
PT Owner
Phone
(208) 661-6366

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 1743 ID Primary

Addresses

Primary practice location

1459 W Yaquina Dr
Post Falls, ID 83854-5190

Mailing address

1459 W Yaquina Dr
Post Falls, ID 83854-5190
Phone (208) 661-6366

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154481455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1459 W YAQUINA DR",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838545190",
            "telephone_number": "208-661-6366",
            "fax_number": "208-773-5653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1459 W YAQUINA DR",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838545190",
            "telephone_number": "208-661-6366",
            "fax_number": "208-773-5653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARNA",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "PT OWNER",
        "authorized_official_telephone_number": "208-661-6366",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "1743",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; 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.