Kaden Culp, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

1010 Bryden Ave Unit a
Lewiston, ID 83501-6295

Phone

(208) 746-0455

Fax

(208) 746-0688

NPI assigned

May 31, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID, OR2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peak Performance Physical TherapyGroup PAC ID 4082738604, 3 clinicians

Life Out Loud LLCGroup PAC ID 3375957293, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Peak Performance Physical Therapy

  • Physical Therapist
  • Lewiston, ID
  • NPI 1205157252
  Medicare reassignment Care Compare group NPD
• Life Out Loud, LLC

  dba Elevate Physical Therapy Fitness and Performance

  • Physical Therapist
  • Klamath Falls, OR
  • NPI 1952947616
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1699414532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 BRYDEN AVE UNIT A",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835016295",
            "telephone_number": "208-746-0455",
            "fax_number": "208-746-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 BRYDEN AVE UNIT A",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835016295",
            "telephone_number": "208-746-0455",
            "fax_number": "208-746-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULP",
        "first_name": "KADEN",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connie Louise Crawford, PH.D., ARNP
• Jennifer C Creaser, ARNP
• Tamara Cronk-Wilson, LCSW
• Muna Crook
• Victoria K Cruz, NP-C
• Heather Fowler Cumbo, MD
• Imelda Daley, M.S.
• Kyle James Daly, CRNA
• Ryan Joseph Daly, DNP
• Shain Jessup Dammon, PHARM D

• Physical Therapist in Lewiston, ID
• Providers in Lewiston, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.