Idaho Outpatient Rehabilitation LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

IDAHO OUTPATIENT REHABILITATION LLC

Practice address

2190 Ironwood PL
Suite B
Coeur D Alene, ID 83814-2610

Phone

(208) 665-1839

Fax

(208) 665-0571

NPI assigned

Jul 21, 2006

Organization subpart

No

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

Authorized official

Name

Michael Chrysler

Title

Owner

Phone

(208) 665-1839

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David B Andrews, PT

  • Physical Therapist
  • Post Falls, ID
  • NPI 1356361406
  NPD (past)
• Dean M Hopper, RPT

  • Physical Therapist
  • Coeur D Alene, ID
  • NPI 1568482602
  NPD (past)
• Rolane M Hopper, OT

  • Occupational Therapist
  • Coeur D Alene, ID
  • NPI 1326065418
  NPD (past)
• Clarence Andrew Sims, OT

  • Occupational Therapist
  • Coeur D Alene, ID
  • NPI 1265456735
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689695249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2190 IRONWOOD PL",
            "address_2": "SUITE B",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142610",
            "telephone_number": "208-665-1839",
            "fax_number": "208-665-0571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2190 IRONWOOD PL",
            "address_2": "SUITE B",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142610",
            "telephone_number": "208-665-1839",
            "fax_number": "208-665-0571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDAHO OUTPATIENT REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHRYSLER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-665-1839"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Coeur D Alene, ID
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.