Active NPI
Brad Wayne Billington, P.T.
- Physical Therapist
- Post Falls, ID
National Provider Identifier
1609815331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 266
- Practice address
- 185 W 4TH Ave
Suite C
Post Falls, ID 83854-4978 - Phone
- (208) 777-8851
- Fax
- (208) 777-8851
- NPI assigned
- Jun 6, 2006
- Last updated
- Nov 17, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 266 | ID | Primary |
Addresses
Primary practice location
185 W 4TH Ave
Suite C
Post Falls, ID 83854-4978
Mailing address
185 W 4TH Ave Ste C
Physical Therapy Center of Post Falls
Post Falls, ID 83854-4979
Phone (208) 777-8851
Other names 1
- Bradley Wayne Billington
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT 266 | ID | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeside Physical Therapy LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Post Falls, ID
- NPI 1134296510
-
- Physical Therapist
- Spokane Valley, WA
- NPI 1023183142
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447718400000",
"number": "1609815331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 W 4TH AVE STE C",
"address_2": "PHYSICAL THERAPY CENTER OF POST FALLS",
"city": "POST FALLS",
"state": "ID",
"postal_code": "838544979",
"telephone_number": "208-777-8851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 W 4TH AVE",
"address_2": "SUITE C",
"city": "POST FALLS",
"state": "ID",
"postal_code": "838544978",
"telephone_number": "208-777-8851",
"fax_number": "208-777-8851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BILLINGTON",
"first_name": "BRAD",
"middle_name": "WAYNE",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2015-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "PT 266",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRADLEY",
"last_name": "BILLINGTON",
"middle_name": "WAYNE",
"credential": "P.T.",
"code": "5",
"type": "Other Name"
}
]
}
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 Nov 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.