John Appel

Individual provider Active NPI Physical Therapist · McCall, ID

NPI 1649500430 · NPPES record last updated Dec 30, 2009

Key facts

NPI
1649500430
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT - 1583 (ID)
Practice address
409 S 3Rd St Ste C
McCall, ID 83638-5000
Phone
(208) 637-8517
Fax
(208) 634-5763
NPI assigned
Dec 30, 2009
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PT-2902HIMDPhysical Therapist
PT - 1583IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pro-Active Physical Therapy of McCall, PA Physical Therapist Past
since May 30, 2017
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT - 1583 ID Yes
Physical Therapist 225100000X PT-2902 HI

Addresses

Primary practice location

409 S 3Rd St Ste C
McCall, ID 83638-5000

Mailing address

1440 S Samson TRL
McCall, ID 83638-5143

Other providers in McCall, ID

All providers in McCall, ID · Physical Therapist in Idaho

Sources for this page

Verify at the official NPI Registry.