Pneuthera Spine and Sport LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PNEUTHERA SPINE AND SPORT LLC

Practice address

2605 N Boyer Ave
Sandpoint, ID 83864

Phone

(208) 263-3100

Fax

(208) 265-9651

NPI assigned

Sep 19, 2007

Last updated

Nov 12, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Karin Cook

Title

Owner

Phone

(208) 263-3100

Specialties & licenses 1

Addresses

Other names 1

• Fitness and Sports Training LLC Former legal business name

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352678400000",
    "number": "1508052911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 N BOYER AVE",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "83864",
            "telephone_number": "208-263-3100",
            "fax_number": "208-265-9651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 N BOYER AVE",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "83864",
            "telephone_number": "208-263-3100",
            "fax_number": "208-265-9651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PNEUTHERA SPINE AND SPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2012-11-12",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "KARIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-263-3100"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fitness and Sports Training LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• 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 Nov 12, 2012; 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.