Individual provider Active NPI

Stefanie Cove, PT

  • Physical Therapist
  • Coeur d'Alene, ID
National Provider Identifier
1477920338
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05009932A Issued in IN
Practice address
1450 Northwest Blvd.
Suite 106
Coeur D Alene, ID 83814-5605
Phone
(208) 667-6264
Fax
(208) 664-4313
NPI assigned
Aug 27, 2015
Last updated
Aug 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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 05009932A IN Primary

Addresses

Primary practice location

1450 Northwest Blvd.
Suite 106
Coeur D Alene, ID 83814-5605

Mailing address

1450 Northwest Blvd.
Suite 106
Coeur D Alene, ID 83814-5605
Phone (208) 667-6264

Other names 1

  • Stefanie Wren Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161102002727 ID Practitioner - Physical Therapist in Private Practice 0143524868 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ironwood Drive Physical Therapy PAGroup PAC ID 1557345436, 13 clinicians

Practice addresses (Care Compare)

1088 W Prairie Ave
Coeur D Alene, ID 83815-8741
Phone (208) 772-6609

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ironwood Drive Physical Therapy, PA Physical Therapist CurrentSince Jul 18, 2023 Accepting new patients
Summit Rehabilitation Associates, PLLC Physical Therapist PastSince Sep 6, 2016 Accepting new patients

Locations

1450 Northwest Blvd
Ste 106
Coeur D Alene, ID 83814
Phone (208) 667-6264

3922 E Early Dawn Ave
Post Falls, ID 83854
Phone (208) 618-6000

Organizations & group practices 3

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": "1440633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1477920338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 NORTHWEST BLVD.",
            "address_2": "SUITE 106",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838145605",
            "telephone_number": "208-667-6264",
            "fax_number": "208-664-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 NORTHWEST BLVD.",
            "address_2": "SUITE 106",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838145605",
            "telephone_number": "208-667-6264",
            "fax_number": "208-664-4313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVE",
        "first_name": "STEFANIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-27",
        "last_updated": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05009932A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEFANIE",
            "last_name": "WREN",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Aug 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.