Canfield PT PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

CANFIELD PT PLLC

Practice address

402 W Canfield Ave Ste 5
Coeur D Alene, ID 83815-7784

Phone

(208) 755-3960

NPI assigned

Nov 2, 2018

Last updated

Nov 2, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lori-Ann Tierney, PT

Title

Owner/PT

Phone

(208) 755-3960

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1541116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541116800000",
    "number": "1689142192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3138",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838353138",
            "telephone_number": "208-755-3960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 W CANFIELD AVE STE 5",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838157784",
            "telephone_number": "208-755-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANFIELD PT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-02",
        "last_updated": "2018-11-02",
        "status": "A",
        "authorized_official_last_name": "TIERNEY",
        "authorized_official_first_name": "LORI-ANN",
        "authorized_official_title_or_position": "OWNER/PT",
        "authorized_official_telephone_number": "208-755-3960",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Michael Campbell, DSOM, LAC
• Katrina Ann Campbell
• Samantha Campbell, ARNP
• Canfield Family Medical Group LLC (Canfield Family Medicine)
• Canfield Physical Therapy
• Daniel Edward Cannon, MD
• Danielle Elaine Cannon, LCSW
• Michelle Nicole Cano-Keighley, ARNP
• Canopy Village Inc.
• Jessica Capaul

• Physical Therapist in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2018; 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.