Active NPI
David Watson Hillman, PT
- Physical Therapist
- Post Falls, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT912
- Practice address
- 1132 E Polston Ave
Post Falls, ID 83854-6045 - Phone
- (208) 777-7800
- Fax
- (208) 777-9209
- NPI assigned
- Oct 17, 2006
- Last updated
- Jul 18, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | PT912 | ID | |
| Physical Therapist | 225100000X | PT912 | ID | Primary |
Addresses
Primary practice location
1132 E Polston Ave
Post Falls, ID 83854-6045
Mailing address
1132 E Polston Ave
Post Falls, ID 83854-6045
Phone (208) 777-7800
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000010024489 | Other | ID | REGENCE BLUE SHIELD |
| GROUP HEALTH | Other | ID | 7624 |
| T2516 | Other | ID | BLUE CROSS |
| 650011684 | Other | ID | RAILROAD MEDICARE |
| 1134149941 | Medicaid | ID | |
| 101976 | Other | WA | WASHINGTON L&I |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1132 E Polston Ave
Post Falls, ID 83854-6045
Phone (208) 777-7800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT912 | ID | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| River City Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Scott Randklev Physical Therapy P.a. | Physical Therapist | Past | Accepting new patients |
Locations
370 E Kathleen Ave
Ste 500
Coeur D Alene, ID 83815
Phone (208) 292-1372
1132 E Polston Ave
Post Falls, ID 83854
Phone (208) 777-7800
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Post Falls, ID
- NPI 1134149941
Physical Therapist
-
dba Lifestyle Physical Therapy
- Physical Therapist
- Coeur d'Alene, ID
- NPI 1437744752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531872000000",
"number": "1205916848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1132 E POLSTON AVE",
"city": "POST FALLS",
"state": "ID",
"postal_code": "838546045",
"telephone_number": "208-777-7800",
"fax_number": "208-777-9209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1132 E POLSTON AVE",
"city": "POST FALLS",
"state": "ID",
"postal_code": "838546045",
"telephone_number": "208-777-7800",
"fax_number": "208-777-9209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILLMAN",
"first_name": "DAVID",
"middle_name": "WATSON",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2018-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "ID",
"license": "PT912",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "PT912",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "000010024489",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "7624",
"identifier": "GROUP HEALTH",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "T2516",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "650011684",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1134149941",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTON L&I",
"identifier": "101976",
"state": "WA"
}
],
"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 Jul 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.