Kathryn Ann Dardis, P.T.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

PT-440 Issued in ID

Practice address

418 Floyde St
McCall, ID 83638-4508

Phone

(208) 634-2112

NPI assigned

Nov 26, 2012

Last updated

Nov 26, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353888000000",
    "number": "1609110964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2789",
            "city": "MCCALL",
            "state": "ID",
            "postal_code": "836382789",
            "telephone_number": "208-634-4526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 FLOYDE ST",
            "city": "MCCALL",
            "state": "ID",
            "postal_code": "836384508",
            "telephone_number": "208-634-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARDIS",
        "first_name": "KATHRYN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-26",
        "last_updated": "2012-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "ID",
            "license": "PT-440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cultivating Connection, LLC
• Jonathan M Currey, MD
• Jodi Marie Currie
• Sarah A. Curtin, MD
• James W Dardis, MD
• Heather Lea Davis, P.A.-C.
• Yuri Davydov, LPC
• Mary-Jo Lynn Depaoli, LMSW
• Emily Anne Desmeules
• Tiffany M Dobbs I

• Skilled Nursing Facility in McCall, ID
• Providers in McCall, ID by specialty
• Skilled Nursing Facility in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.