Individual provider Active NPI

Barrett Robert Reif, DPT

  • Physical Therapist
  • Coeur d'Alene, ID
National Provider Identifier
1255054102
Registry record updated Sep 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9171049 Issued in ID
Practice address
1233 N Northwood Center CT Ste 101
Coeur D Alene, ID 83814-6190
Phone
(208) 215-2450
Fax
(208) 773-1473
NPI assigned
Sep 26, 2022
Last updated
Sep 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12628 MN
Physical Therapist 225100000X 9171049 ID Primary

Addresses

Primary practice location

1233 N Northwood Center CT Ste 101
Coeur D Alene, ID 83814-6190

Mailing address

1233 N Northwood Center CT Ste 101
Coeur D Alene, ID 83814-6190
Phone (208) 215-2450

Other practice location 1

8552 N Government Way
Hayden, ID 83835-9280
Phone (208) 215-2450

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250415002568 ID Practitioner - Physical Therapist in Private Practice 8729454293 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adam J Olscamp MD PCGroup PAC ID 4284947334, 11 clinicians

Practice addresses (Care Compare)

1233 N Northwood Ctr CT
Suite 101
Coeur D Alene, ID 83814-6190
Phone (208) 457-4211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9171049IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Adam J Olscamp MD PC Physical Therapist CurrentSince May 5, 2025 Accepting new patients
Adam J Olscamp MD PC Physical Therapist CurrentSince May 5, 2025 Accepting new patients

Locations

1233 N Northwood Center Ct
Ste 101
Coeur D Alene, ID 83814
Phone (208) 215-2450

8552 N Government Way
Hayden, ID 83835
Phone (208) 457-4211

Interoperability endpoints

  • Direct secure messaging: barrett.reif.1@28236.direct.athenahealth.com

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": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758931200000",
    "number": "1255054102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 N NORTHWOOD CENTER CT STE 101",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838146190",
            "telephone_number": "208-215-2450",
            "fax_number": "208-773-1473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 N NORTHWOOD CENTER CT STE 101",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838146190",
            "telephone_number": "208-215-2450",
            "fax_number": "208-773-1473"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8552 N Government Way",
            "address_purpose": "LOCATION",
            "city": "Hayden",
            "state": "ID",
            "postal_code": "838359280",
            "country_code": "US",
            "telephone_number": "208-215-2450",
            "fax_number": "208-773-1473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REIF",
        "first_name": "BARRETT",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-26",
        "last_updated": "2025-09-27",
        "certification_date": "2025-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "12628",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "9171049",
            "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 Sep 27, 2025; 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.