Active NPI
Tom Lamphier
- Physical Therapist
- Coeur d'Alene, ID
National Provider Identifier
1417154964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-1488
- Practice address
- 210 W Lacrosse Ave
Coeur D Alene, ID 83814-2403 - Phone
- (208) 664-2185
- NPI assigned
- Jun 28, 2007
- Last updated
- Dec 15, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-1488 | ID | Primary |
Addresses
Primary practice location
210 W Lacrosse Ave
Coeur D Alene, ID 83814-2403
Mailing address
4444 Greenchain Loop
# 3
Cda, ID 83814
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040615000813 | ID | Practitioner - Physical Therapist in Private Practice | 1658355953 | Practice locations: Coeur D Alene, ID |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702598400000",
"number": "1417154964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4444 GREENCHAIN LOOP",
"address_2": "# 3",
"city": "CDA",
"state": "ID",
"postal_code": "83814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 W LACROSSE AVE",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838142403",
"telephone_number": "208-664-2185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMPHIER",
"first_name": "TOM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-28",
"last_updated": "2023-12-15",
"certification_date": "2023-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "PT-1488",
"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 Dec 15, 2023; 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.