NPIMap

Organization Active NPI

Altitude Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Caldwell, ID
National Provider Identifier
1619045309
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ALTITUDE PHYSICAL THERAPY, INC.
Practice address
2721 S 10TH Ave Ste 105
Caldwell, ID 83605-5792
Phone
(208) 454-9839
Fax
(208) 454-0727
NPI assigned
Dec 1, 2006
Last updated
Jan 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Authorized official

Name
Mr. Sean R Weatherston, PTNPI 1073596136
Title
President
Phone
(208) 454-9839

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

2721 S 10TH Ave Ste 105
Caldwell, ID 83605-5792

Mailing address

2721 S 10TH Ave Ste 105
Caldwell, ID 83605-5792
Phone (208) 454-9839

Other identifiers 1

IdentifierTypeStateIssuer
807229400MedicaidID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050722000897 ID Part B Supplier - Clinic/Group Practice 0244267029 Receives reassigned benefits from 13 practitioners
Practice locations: Nampa, ID; Caldwell, ID

National Provider Directory

National Provider Directory

Locations

1906 Fairview Ave
Ste 410
Caldwell, ID 83605
Phone (208) 454-9839

2721 S 10th Ave
#105
Caldwell, ID 83605
Phone (208) 454-9839

130 S Midland Blvd
Nampa, ID 83686
Phone (208) 318-6214

3151 E Greenhurst Rd
Nampa, ID 83686
Phone (208) 465-9418

63 S Midland Blvd
Nampa, ID 83651
Phone (208) 505-6999

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768262400000",
    "number": "1619045309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2721 S 10TH AVE STE 105",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836055792",
            "telephone_number": "208-454-9839",
            "fax_number": "208-454-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2721 S 10TH AVE STE 105",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836055792",
            "telephone_number": "208-454-9839",
            "fax_number": "208-454-0727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTITUDE PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A",
        "authorized_official_last_name": "WEATHERSTON",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-454-9839",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807229400",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.