Sandpoint Physical Therapy & Aquatic Center

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SANDPOINT PHYSICAL THERAPY & AQUATIC CENTER

Practice address

1301 N Division Ave
Sandpoint, ID 83864-8268

Phone

(208) 263-8866

NPI assigned

Aug 9, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Rudolf Kreps, LPT

Title

Ceo

Phone

(208) 263-8866

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487664371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 N DIVISION AVE",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838648268",
            "telephone_number": "208-263-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 N DIVISION AVE",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838648268",
            "telephone_number": "208-263-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDPOINT PHYSICAL THERAPY & AQUATIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KREPS",
        "authorized_official_first_name": "RUDOLF",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-263-8866",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP PROVIDER",
            "identifier": "T9818",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandpoint Health Care, PLLC
• Sandpoint Medical Investors, LLC (Life Care Center of Sandpoint)
• Sandpoint Medical Massage and Bodyworks
• Sandpoint Orthopedics, PC
• Sandpoint Pediatrics LLP (Sandpoint Pediatrics In Bonners Ferry)
• Sandpoint Physical Therapy PC
• Sandpoint Psychotherapy LLC
• Sandpoint Public Charter School Inc.
• Sandpoint Super Drug Clinical
• Sandpoint Surgery Center LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.