Organization Active NPI

North Idaho Hand Rehabilitation, PLLC

  • Hand Occupational Therapist
  • Coeur D Alene, ID
National Provider Identifier
1316006182
Registry record updated May 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
OT-705 Issued in ID
Legal business name
NORTH IDAHO HAND REHABILITATION, PLLC
Practice address
943 W Ironwood Dr Ste 100
Coeur D Alene, ID 83814-4904
Phone
(208) 765-3600
NPI assigned
Dec 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2010

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

Authorized official

Name
Robert Swider, OTR, CHTNPI 1306851969
Title
Owner Therapist
Phone
(208) 765-3600

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
Hand Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XH1200X OT-705 ID Primary

Addresses

Primary practice location

943 W Ironwood Dr Ste 100
Coeur D Alene, ID 83814-4904

Mailing address

PO Box 3482
Post Falls, ID 83877-3482

Other identifiers 1

IdentifierTypeStateIssuer
808521400MedicaidID

National Provider Directory

National Provider Directory

Locations

943 W Ironwood Dr
Ste 100
Coeur D Alene, ID 83814
Phone (208) 651-4551

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273017600000",
    "number": "1316006182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3482",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838773482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "943 W IRONWOOD DR STE 100",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144904",
            "telephone_number": "208-765-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH IDAHO HAND REHABILITATION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2010-05-05",
        "status": "A",
        "authorized_official_last_name": "SWIDER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER THERAPIST",
        "authorized_official_telephone_number": "208-765-3600",
        "authorized_official_credential": "OTR, CHT"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": "ID",
            "license": "OT-705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "808521400",
            "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 May 5, 2010; 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.