Individual provider Active NPI

Dirk Baird, DPT

  • Physical Therapist
  • Coeur d'Alene, ID
National Provider Identifier
1225149123
Registry record updated Apr 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT1345 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
Aug 31, 2006
Last updated
Apr 8, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2020

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 PT1345 ID Primary

Addresses

Primary practice location

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

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
805214000MedicaidID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111104000127 ID Practitioner - Physical Therapist in Private Practice 7517941495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
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

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
PT1345IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ironwood Drive Physical Therapy, PA Physical Therapist CurrentSince Mar 24, 2000 Accepting new patients
Porto Uniao, Inc Past Accepting new patients

Locations

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

1875 N Lakewood Dr
Ste 101
Coeur D Alene, ID 83814
Phone (208) 667-3583

2180 W Ironwood Center Dr
Coeur D Alene, ID 83814
Phone (208) 667-6264

7780 N Mineral Dr
Coeur D Alene, ID 83815
Phone (208) 772-6609

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586304000000",
    "number": "1225149123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 NORTHWEST BLVD STE 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": "BAIRD",
        "first_name": "DIRK",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT1345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805214000",
            "state": "ID"
        }
    ],
    "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 Apr 8, 2020; 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.