Individual provider Active NPI

Chris J Garrett, MPT

  • Physical Therapist
  • Rathdrum, ID
National Provider Identifier
1598790396
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT1462 Issued in ID
Practice address
14775 N Kimo CT Ste a
Rathdrum, ID 83858-8762
Phone
(208) 687-9240
Fax
(208) 687-9241
NPI assigned
Jul 11, 2006
Last updated
May 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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 PT1462 ID Primary

Addresses

Primary practice location

14775 N Kimo CT Ste a
Rathdrum, ID 83858-8762

Mailing address

14775 N Kimo CT
Ste a
Rathdrum, ID 83858-8762
Phone (208) 687-9240

Other identifiers 1

IdentifierTypeStateIssuer
806179500MedicaidID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100916000791 ID Practitioner - Physical Therapist in Private Practice 4981517026 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Surgery and SportsGroup PAC ID 3375519168, 28 clinicians

Practice addresses (Care Compare)

1160 E Polston Ave
Suite B
Post Falls, ID 83854-6045
Phone (208) 262-0156

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT1462IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Surgery and Sports Physical Therapist CurrentSince Jul 1, 2025 Accepting new patients
Rathdrum Physical Therapy, Inc. Physical Therapist CurrentSince Sep 15, 2003 Accepting new patients
Orthopedic Surgery and Sports CurrentSince Jul 1, 2025 Accepting new patients
Ironwood Drive Physical Therapy, PA Physical Therapist PastSince Mar 16, 2020 Accepting new patients

Locations

850 W Ironwood Dr
Ste 202
Coeur D Alene, ID 83814
Phone (208) 601-6038

1160 E Polston Ave
#B
Post Falls, ID 83854
Phone (208) 262-0156

14775 N Kimo Ct
Ste A
Rathdrum, ID 83858
Phone (208) 687-9240

Organizations & group practices 4

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1598790396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14775 N KIMO CT",
            "address_2": "STE A",
            "city": "RATHDRUM",
            "state": "ID",
            "postal_code": "838588762",
            "telephone_number": "208-687-9240",
            "fax_number": "208-687-9241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14775 N KIMO CT STE A",
            "city": "RATHDRUM",
            "state": "ID",
            "postal_code": "838588762",
            "telephone_number": "208-687-9240",
            "fax_number": "208-687-9241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRETT",
        "first_name": "CHRIS",
        "middle_name": "J",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT1462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806179500",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rathdrum, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; 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.