Carolyn Ann Spurling, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-4198 Issued in ID

Practice address

678 Southway Ave
Lewiston, ID 83501-3783

Phone

(208) 746-1418

NPI assigned

Aug 13, 2015

Last updated

Aug 13, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Carolyn Ann Masonheimer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Peak Physical Therapy P C

  • Physical Therapist
  • Boise, ID
  • NPI 1073551560
  NPD

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

{
    "created_epoch": "1439424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439424000000",
    "number": "1326414335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3865 LAKEVIEW DR",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835018601",
            "telephone_number": "208-413-6614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "678 SOUTHWAY AVE",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835013783",
            "telephone_number": "208-746-1418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPURLING",
        "first_name": "CAROLYN",
        "middle_name": "ANN",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-13",
        "last_updated": "2015-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-4198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "MASONHEIMER",
            "middle_name": "ANN",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David B Souvenir, M.D.
• Connie Spears, FNP
• David A Spencer, MD
• Pamela Spickler, NP
• Kayla Sprenger
• Gregory Robert Spurling, M.D
• Ssa VIII, LLC
• St Joseph Hospital LLC
• St Joseph Hospital LLC (St. Joseph Regional Medical Group)
• St Joseph Hospital LLC

• Physical Therapist in Lewiston, ID
• Providers in Lewiston, 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 13, 2015; 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.