Inspire Physical Therapy Idaho Inc PS

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

INSPIRE PHYSICAL THERAPY IDAHO INC PS

Practice address

1321 N Northwood Center CT Ste B
Coeur D Alene, ID 83814-4944

Phone

(208) 665-7055

Fax

(208) 665-7093

NPI assigned

Sep 22, 2017

Organization subpart

No

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

Authorized official

Name

Shirley Provoznik

Title

VP Operations

Phone

(360) 338-0181

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julie Beerman

  • Physical Therapist
  • Coeur d'Alene, ID
  • NPI 1720306749
  Medicare reassignment Care Compare group NPD
• Ashley Demico, PT, DPT

  • Physical Therapist
  • Coeur d'Alene, ID
  • NPI 1598115891
  Medicare reassignment Care Compare group NPD
• Myriah Alyse Tollett, PT, DPT

  • Physical Therapist
  • Post Falls, ID
  • NPI 1326543695
  Medicare reassignment Care Compare group NPD
• Cara Marie Clinton, PT, DPT

  • Physical Therapist
  • San Diego, CA
  • NPI 1861748600

  ID

  Medicare reassignment Care Compare group NPD
• Jillienne Braucher Sells, DPT

  • Physical Therapist
  • Coeur d'Alene, ID
  • NPI 1518581909
  Medicare reassignment NPD
• Jerald Richard Olsen, DPT

  • Physical Therapist
  • Coeur d'Alene, ID
  • NPI 1215369764
  Medicare reassignment NPD
• Timothy Lance Papineau, MPT

  • Physical Therapist
  • Spokane Valley, WA
  • NPI 1356351738

  ID

  Medicare reassignment NPD

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

{
    "created_epoch": "1506038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692662400000",
    "number": "1265941108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DENNIS ST SW STE B",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985016523",
            "telephone_number": "208-665-7055",
            "fax_number": "208-665-7093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 N NORTHWOOD CENTER CT STE B",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144944",
            "telephone_number": "208-665-7055",
            "fax_number": "208-665-7093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRE PHYSICAL THERAPY IDAHO INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-22",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A",
        "authorized_official_last_name": "PROVOZNIK",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "VP OPERATIONS",
        "authorized_official_telephone_number": "360-338-0181"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.