Timber Ridge Industrial Therapy, PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

TIMBER RIDGE INDUSTRIAL THERAPY, PLLC

Practice address

610 Hubbard Ave Ste 226
Coeur D'Alene, ID 83814

Phone

(208) 818-7404

NPI assigned

Mar 13, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Christopher A Stoddard, DPT, OTR/L

Title

Owner

Phone

(208) 818-7404

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1584057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585958400000",
    "number": "1346876166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31200 N RED FIR RD",
            "city": "ATHOL",
            "state": "ID",
            "postal_code": "838013100",
            "fax_number": "208-567-9508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 HUBBARD AVE STE 226",
            "city": "COEUR D'ALENE",
            "state": "ID",
            "postal_code": "83814",
            "telephone_number": "208-818-7404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMBER RIDGE INDUSTRIAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-13",
        "last_updated": "2020-04-04",
        "certification_date": "2020-04-04",
        "status": "A",
        "authorized_official_last_name": "STODDARD",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-818-7404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT, OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Swindoll, LMSW
• Virginia Taft, OTR-L
• Joel D Tenbrink, PT, ATC
• Francesca Terracciano, LPC
• Maureen E. Tiernan-Meech, PSYD
• Janice Lee Titherley, LMFT
• Michele Jean Unsworth, LCPC
• Hannemae Brook Wasson, LMSW
• Kayla Wearne, MS, CCC-SLP
• Charlotte Esther Weeda, MD

• Physical Therapy Clinic/Center in Coeur D'Alene, ID
• Providers in Coeur D'Alene, ID by specialty
• Physical Therapy Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2020; 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.