NPIMap

Individual provider Active NPI

Christine Danser, PT

  • Physical Therapist
  • Rathdrum, ID
National Provider Identifier
1396766473
Registry record updated Jan 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT1734 Issued in ID
Practice address
14775 N Kimo CT
Ste a
Rathdrum, ID 83858-8762
Phone
(208) 687-9240
Fax
(208) 687-9241
NPI assigned
Jul 22, 2006
Last updated
Jan 21, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT1734 ID Primary

Addresses

Primary practice location

14775 N Kimo CT
Ste a
Rathdrum, ID 83858-8762

Mailing address

14775 N Kimo CT
Ste a
Rathdrum, ID 83858-8762
Phone (208) 687-9240

Other identifiers 1

IdentifierTypeStateIssuer
806803400MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT1734IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ironwood Drive Physical Therapy, PA Physical Therapist Past Accepting new patients
Porto Uniao, Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264032000000",
    "number": "1396766473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14775 N KIMO CT",
            "address_2": "STE A",
            "city": "RATHDRUM",
            "state": "ID",
            "postal_code": "838588762",
            "telephone_number": "208-687-9240",
            "fax_number": "208-687-9241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14775 N KIMO CT",
            "address_2": "STE A",
            "city": "RATHDRUM",
            "state": "ID",
            "postal_code": "838588762",
            "telephone_number": "208-687-9240",
            "fax_number": "208-687-9241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANSER",
        "first_name": "CHRISTINE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-22",
        "last_updated": "2010-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT1734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806803400",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rathdrum, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.