Caribou Physical Therapy P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

225100000X Issued in ID

Legal business name

CARIBOU PHYSICAL THERAPY P.C.

Practice address

47390 Highway 200
Hope, ID 83836-9647

Phone

(208) 265-8333

Fax

(208) 263-1394

NPI assigned

Aug 13, 2008

Last updated

May 27, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paula Amy Lund, PTNPI 1306858311

Title

President/Owner/Provider

Phone

(208) 265-8333

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Caribou Orthopedic & Sports Rehab Former legal business name

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paula Amy Lund, PT

  • Physical Therapist
  • Hope, ID
  • NPI 1306858311
  Medicare reassignment NPD Authorized official
• Cheryl Jean Crandall-Williams, P.T., D.P.T., CSCS

  • Physical Therapist
  • Ponderay, ID
  • NPI 1811013089
  NPD (past)

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748304000000",
    "number": "1366698003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 ROUNDHOUSE CIR",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838648674",
            "telephone_number": "208-265-8333",
            "fax_number": "208-263-1394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47390 HIGHWAY 200",
            "city": "HOPE",
            "state": "ID",
            "postal_code": "838369647",
            "telephone_number": "208-265-8333",
            "fax_number": "208-263-1394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARIBOU PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-13",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A",
        "authorized_official_last_name": "LUND",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "AMY",
        "authorized_official_title_or_position": "PRESIDENT/OWNER/PROVIDER",
        "authorized_official_telephone_number": "208-265-8333",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "225100000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000010023365",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "804274300",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "TD780",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12083282",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caribou Orthopedic & Sports Rehab",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• 9 Crows Acupuncture & Chinese Medicine, LLC
• Bruce Gregory Boudousquie, LPC
• Cheryl Ann Cerasoli, LMFT
• Xochitl Hodgson, LPN
• Debra Kellerman, LCSW
• Paula Amy Lund, PT
• Stephanie Ray, LCSW

• Physical Therapist in Hope, ID
• Providers in Hope, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; 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.