Organization Active NPI

Rulin J. Hawks, PT, PLLC

Doing business as Caldwell Physical Therapy

  • Physical Therapy Clinic/Center
  • Caldwell, ID
National Provider Identifier
1265602809
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT1122 Issued in ID
Legal business name
RULIN J. HAWKS, PT, PLLC
Doing business as
Caldwell Physical Therapy
Practice address
1902 S 10TH Ave
Caldwell, ID 83605-4841
Phone
(208) 453-9111
Fax
(208) 453-9115
NPI assigned
Mar 11, 2008
Last updated
Mar 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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

Authorized official

Name
Mr. Rulin J. Hawks, P.T.NPI 1912116682
Title
Owner
Phone
(208) 453-9111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT1122 ID Primary

Addresses

Primary practice location

1902 S 10TH Ave
Caldwell, ID 83605-4841

Mailing address

1902 S 10TH Ave
Caldwell, ID 83605-4841
Phone (208) 453-9111

Other identifiers 3

IdentifierTypeStateIssuer
1912116682OtherINDIVIDUAL NPI
1008987OtherIDSTATE INSURANCE FUND
TA179OtherIDBCBS

Other names 1

  • Caldwell Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

1818 S 10th Ave
Ste 100
Caldwell, ID 83605
Phone (208) 453-9111

1818 S 10th Ave
Ste 100A
Caldwell, ID 83605
Phone (208) 453-9111

1902 S 10th Ave
Caldwell, ID 83605
Phone (208) 453-9111

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1265602809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 S 10TH AVE",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054841",
            "telephone_number": "208-453-9111",
            "fax_number": "208-453-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 S 10TH AVE",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054841",
            "telephone_number": "208-453-9111",
            "fax_number": "208-453-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RULIN J. HAWKS, PT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "HAWKS",
        "authorized_official_first_name": "RULIN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-453-9111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "ID",
            "license": "PT1122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1912116682",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE INSURANCE FUND",
            "identifier": "1008987",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "TA179",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caldwell Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Caldwell, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.