Adam Wheeler, PT
Individual provider Active NPI Physical Therapist · Spirit Lake, ID
NPI 1508109331 · NPPES record last updated Mar 29, 2018
Key facts
- NPI
- 1508109331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT3211 (ID)
- Practice address
- 31911 N 5TH St
Spirit Lake, ID 83869 - Phone
- (208) 623-6717
- NPI assigned
- Mar 29, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Alpine Physical Therapy Center, P.C.
Practice addresses (Care Compare)
31911 N 5TH Ave
Spirit Lake, ID 83869-9472
Phone (208) 623-6717
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130718000368 | ID | Practitioner - Physical Therapist in Private Practice | 6608017512 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT3211 | ID | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alpine Physical Therapy Center, P.C. | Physical Therapist | Current |
Accepting new patients |
| Physical Therapy Center of Post | Physical Therapist | Past |
Accepting new patients |
Locations
8257 N Cornerstone Dr
Hayden, ID 83835
Phone (208) 762-0881
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT3211 | ID | Yes |
Addresses
Primary practice location
31911 N 5TH St
Spirit Lake, ID 83869
Mailing address
PO Box 3482
Post Falls, ID 83877-3482
Phone (208) 209-6170
Other providers in Spirit Lake, ID
- Pine Ridge Chiropractic PC
- Maxwell Sharpe
- Tyler Ross Siegford
- Nichole Streibeck
- Ashley Lynette Vanvleck
- Roxanne M Willis
All providers in Spirit Lake, ID · Physical Therapist in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.