Individual provider Active NPI

Joshua B Bartoo, M.P.T.

  • Physical Therapist
  • Rathdrum, ID
National Provider Identifier
1598826307
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
RPT1820 Issued in ID
Practice address
16768 N Highway 41
Rathdrum, ID 83858-8715
Phone
(208) 687-9195
Fax
(208) 687-9750
NPI assigned
Dec 13, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 RPT1820 ID Primary

Addresses

Primary practice location

16768 N Highway 41
Rathdrum, ID 83858-8715

Mailing address

16768 N Highway 41
Rathdrum, ID 83858-8715
Phone (208) 687-9195

Other identifiers 2

IdentifierTypeStateIssuer
28183OtherIDGROUP HEALTH
T8893OtherIDBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RPT1820IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeland Physical Therapy and Sports Injuries P a Physical Therapist PastSince Oct 27, 2014 Accepting new patients
Shellman Inc PA Physical Therapist PastSince Jan 1, 2001 Accepting new patients
Coeur D Alene Physical Therapy and Sports Medicine PA Physical Therapist Past Accepting new patients

Organizations & group practices 3

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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598826307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16768 N HIGHWAY 41",
            "city": "RATHDRUM",
            "state": "ID",
            "postal_code": "838588715",
            "telephone_number": "208-687-9195",
            "fax_number": "208-687-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16768 N HIGHWAY 41",
            "city": "RATHDRUM",
            "state": "ID",
            "postal_code": "838588715",
            "telephone_number": "208-687-9195",
            "fax_number": "208-687-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTOO",
        "first_name": "JOSHUA",
        "middle_name": "B",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "RPT1820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH",
            "identifier": "28183",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "T8893",
            "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 Jul 8, 2007; 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.