Individual provider Active NPI

Kimberly Moehring

  • Physical Therapist
  • Post Falls, ID
National Provider Identifier
1508293424
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-1115 Issued in ID
Practice address
640 N Thornton St
Post Falls, ID 83854-7495
Phone
(208) 773-2888
Fax
(208) 806-0222
NPI assigned
Oct 9, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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 PT-1115 ID Primary

Addresses

Primary practice location

640 N Thornton St
Post Falls, ID 83854-7495

Mailing address

640 N Thornton St
Post Falls, ID 83854-7495
Phone (208) 773-2888

Other practice location 1

4425 N Fennecus Rd
Post Falls, ID 83854-4094
Phone (208) 625-5311

Other identifiers 1

IdentifierTypeStateIssuer
PT-1115OtherIDID LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140115001371 ID Practitioner - Physical Therapist in Private Practice 7618105818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Texas Medical Branch at Galveston, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mac Physical Therapy, PLLCGroup PAC ID 3779899083, 6 clinicians

Practice addresses (Care Compare)

640 N Thornton St
Post Falls, ID 83854-7495
Phone (208) 773-2888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mac Physical Therapy, PLLC CurrentSince Apr 1, 2017 Accepting new patients

Locations

940 W Ironwood Dr
Ste C
Coeur D Alene, ID 83814
Phone (208) 773-2888

95 W Centa Ave
Hayden, ID 83835

95 W Centa Ave
Ste 201
Hayden, ID 83835
Phone (208) 773-2888

927 E Polston Ave
Ste 201
Post Falls, ID 83854
Phone (208) 771-2939

640 N Thornton St
Post Falls, ID 83854
Phone (208) 262-8166

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1381276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1508293424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 N THORNTON ST",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838547495",
            "telephone_number": "208-773-2888",
            "fax_number": "208-806-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 N THORNTON ST",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838547495",
            "telephone_number": "208-773-2888",
            "fax_number": "208-806-0222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4425 N Fennecus Rd",
            "address_purpose": "LOCATION",
            "city": "Post Falls",
            "state": "ID",
            "postal_code": "838544094",
            "country_code": "US",
            "telephone_number": "208-625-5311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOEHRING",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-09",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-1115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ID LICENSE",
            "identifier": "PT-1115",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Post Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.