Individual provider Active NPI

John Patrick Sayler, DPT

  • Orthopedic Physical Therapist
  • Coeur D Alene, ID
National Provider Identifier
1295821247
Registry record updated Mar 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT-2824 Issued in ID
Practice address
1233 N Northwood Center CT Ste 101
Coeur D Alene, ID 83814-6190
Phone
(208) 457-4211
Fax
(208) 773-1473
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT-2824 ID
Sports Physical Therapist 2251S0007X PT-2824 ID
Physical Therapist 225100000X PT00009951 WA
Orthopedic Physical Therapist 2251X0800X PT-2824 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) 457-4211

Other identifiers 1

IdentifierTypeStateIssuer
1295821247MedicaidID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110504000619 ID Practitioner - Physical Therapist in Private Practice 7719901586 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shellman Inc PAGroup PAC ID 4981592938, 45 clinicians

Practice addresses (Care Compare)

1917 N Lakewood Dr
Coeur D Alene, ID 83814-2634
Phone (208) 664-8194

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-2824IDMDPhysical Therapist
1484SDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Shellman Inc PA Physical Therapist CurrentSince Oct 10, 2023 Accepting new patients
Summit Rehabilitation Associates, PLLC Physical Therapist PastSince May 1, 2011 Accepting new patients

Locations

1917 N Lakewood Dr
Coeur D Alene, ID 83814
Phone (208) 664-8194

1172 W Hayden Ave
Hayden, ID 83835
Phone (208) 762-3332

1610 E Schneidmiller Ave
Post Falls, ID 83854
Phone (208) 618-6070

Organizations & group practices 3

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584316800000",
    "number": "1295821247",
    "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": "208-457-4211",
            "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": "208-457-4211",
            "fax_number": "208-773-1473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAYLER",
        "first_name": "JOHN",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-2824",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "ID",
            "license": "PT-2824",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00009951",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "ID",
            "license": "PT-2824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295821247",
            "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 Mar 16, 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.