Physical Therapy & Sports Medicine Institute Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PHYSICAL THERAPY & SPORTS MEDICINE INSTITUTE INC

Practice address

850 W Ironwood Dr
Suite 103
Coeur D Alene, ID 83814-4903

Phone

(208) 664-1119

Fax

(208) 765-4340

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Michael A Whiting, PTNPI 1902802549

Title

Owner/President

Phone

(208) 664-1119

Specialties & licenses 1

Addresses

Other names 1

• PTSMI Other name

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 4

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.

• Michael Anthony Whiting, PT

  • Orthopedic Physical Therapist
  • Coeur d'Alene, ID
  • NPI 1902802549
  Medicare reassignment NPD Authorized official
• Lee Edward Nagle, PT, DPT

  • Physical Therapist
  • Post Falls, ID
  • NPI 1912925231
  NPD (past)
• Norman L Toews, PT

  • Physical Therapist
  • Coeur d'Alene, ID
  • NPI 1215905468
  NPD (past)
• Samantha C Whiting, OTR

  • Occupational Therapist
  • Coeur d'Alene, ID
  • NPI 1861690307
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278633600000",
    "number": "1184717696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 609",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838350609",
            "telephone_number": "208-664-1119",
            "fax_number": "208-765-4340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 W IRONWOOD DR",
            "address_2": "SUITE 103",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144903",
            "telephone_number": "208-664-1119",
            "fax_number": "208-765-4340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY & SPORTS MEDICINE INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2010-07-09",
        "status": "A",
        "authorized_official_last_name": "WHITING",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "208-664-1119",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PTSMI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jared Petrick
• Brenna J. Petro, FNP
• Thomas William Pettinger, MD
• Kale Pfeifer
• Shelley Rae Phillips, L.P.C.
• Physiotherapy Associates
• Jacob Paul Pickering, DO
• Sarah Katherine Pierce, R.N.
• Briana Gabrielle Pierson, PHARMD
• Rachel Marie Pierson, PA

• Physical Therapist in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; 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.

Verify at the official NPI Registry.