NPIMap

Individual provider Active NPI

Michael D Whitney, PT

  • Physical Therapist
  • Post Falls, ID
National Provider Identifier
1619990546
Registry record updated Jan 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT1365 Issued in ID
Practice address
1590 E Polston Ave
Ste B
Post Falls, ID 83854-5218
Phone
(208) 777-4242
Fax
(208) 777-4020
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT00007703 WA
Physical Therapist 225100000X PT1365 ID Primary

Addresses

Primary practice location

1590 E Polston Ave
Ste B
Post Falls, ID 83854-5218

Mailing address

1590 E Polston Ave
Ste B
Post Falls, ID 83854-5218
Phone (208) 777-4242

Other identifiers 2

IdentifierTypeStateIssuer
PT 1365OtherIDIDAHO LICENSE
PENDINGMedicaidID

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
PT1365IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North Idaho Family Physicians, LLC PastSince Nov 5, 2008 Accepting new patients
Physical Therapy Center of Post Physical Therapist PastSince Nov 30, 2001 Accepting new patients
RPM Rehab, Inc Physical Therapist Past Accepting new patients
Pinnacle Physical Therapy and Sports Medicine, Inc Physical Therapist PastSince Apr 1, 2007 Accepting new patients
Summit Rehabilitation Associates, PLLC Physical Therapist Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199232000000",
    "number": "1619990546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1590 E POLSTON AVE",
            "address_2": "STE B",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838545218",
            "telephone_number": "208-777-4242",
            "fax_number": "208-777-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 E POLSTON AVE",
            "address_2": "STE B",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838545218",
            "telephone_number": "208-777-4242",
            "fax_number": "208-777-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITNEY",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2008-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00007703",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT1365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDAHO LICENSE",
            "identifier": "PT 1365",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jan 2, 2008; 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.