Active NPI
Meridian Mama'S Physical Therapy
- Physical Therapy Clinic/Center
- Coeur D Alene, ID
National Provider Identifier
1376150581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- MERIDIAN MAMA'S PHYSICAL THERAPY
- Practice address
- 309 W Emma Ave
Coeur D Alene, ID 83814-2522 - Phone
- (352) 302-9517
- NPI assigned
- Sep 30, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Christine Elizabeth Huxley, PT, DPT
- Title
- Physical Therapist
- Phone
- (352) 302-9517
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
309 W Emma Ave
Coeur D Alene, ID 83814-2522
Mailing address
1120 Forest Ave
PMB 215
Pacific Grove, CA 93950
Phone (352) 302-9517
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Geriatric Physical Therapist
- St Augustine, FL
- NPI 1457728941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1601424000000",
"number": "1376150581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 FOREST AVE",
"address_2": "PMB 215",
"city": "PACIFIC GROVE",
"state": "CA",
"postal_code": "93950",
"telephone_number": "352-302-9517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 W EMMA AVE",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838142522",
"telephone_number": "352-302-9517"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERIDIAN MAMA'S PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-30",
"last_updated": "2020-09-30",
"certification_date": "2020-09-30",
"status": "A",
"authorized_official_last_name": "HUXLEY",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_middle_name": "ELIZABETH",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "352-302-9517",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PT, DPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Sep 30, 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.