Individual provider Active NPI

James W Behrens, DPT

  • Physical Therapist
  • Coeur D'Alene, ID
National Provider Identifier
1215427893
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-5737 Issued in ID
Practice address
1088 W. Prairie Ave.
Coeur D'Alene, ID 83815-8741
Phone
(208) 772-6609
Fax
(208) 664-4313
NPI assigned
May 18, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT-5737 ID Primary

Addresses

Primary practice location

1088 W. Prairie Ave.
Coeur D'Alene, ID 83815-8741

Mailing address

1450 Northwest Blvd.
Suite 106
Coeur D'Alene, ID 83814-5605
Phone (208) 667-6264

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180618002619 ID Practitioner - Physical Therapist in Private Practice 7416202320 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ironwood Drive Physical Therapy PAGroup PAC ID 1557345436, 13 clinicians

Practice addresses (Care Compare)

1088 W Prairie Ave
Coeur D Alene, ID 83815-8741
Phone (208) 772-6609

1450 Northwest Blvd
Suite 106
Coeur D Alene, ID 83814-5605
Phone (208) 667-6264

3922 E Early Dawn Ave
Post Falls, ID 83854-9006
Phone (208) 618-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-5737IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ironwood Drive Physical Therapy, PA Physical Therapist CurrentSince May 14, 2021 Accepting new patients
Pinnacle Physical Therapy and Sports Medicine, Inc Physical Therapist CurrentSince May 30, 2018 Accepting new patients
North Idaho Day Surgery LLC CurrentSince Sep 1, 2025 Accepting new patients
Summit Rehabilitation Associates, PLLC Physical Therapist Past Accepting new patients

Locations

3322 N Grandmill Ln
Coeur D Alene, ID 83814
Phone (208) 665-2000

1450 Northwest Blvd
Ste 106
Coeur D Alene, ID 83814
Phone (208) 667-6264

1593 E Polston Ave
Post Falls, ID 83854
Phone (208) 262-2300

3922 E Early Dawn Ave
Post Falls, ID 83854
Phone (208) 618-6000

1590 E Polston Ave
Ste B
Post Falls, ID 83854
Phone (208) 777-4242

750 N Syringa St
Ste 100
Post Falls, ID 83854
Phone (208) 262-2600

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1526601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1215427893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 NORTHWEST BLVD.",
            "address_2": "SUITE 106",
            "city": "COEUR D'ALENE",
            "state": "ID",
            "postal_code": "838145605",
            "telephone_number": "208-667-6264",
            "fax_number": "208-664-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1088 W. PRAIRIE AVE.",
            "city": "COEUR D'ALENE",
            "state": "ID",
            "postal_code": "838158741",
            "telephone_number": "208-772-6609",
            "fax_number": "208-664-4313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEHRENS",
        "first_name": "JAMES",
        "middle_name": "W",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-18",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-5737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur D'Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.

Verify at the official NPI Registry.