NPIMap

Organization Active NPI

Caring Edge Op LLC

  • Clinic/Center
  • Eagle, ID
National Provider Identifier
1700399359
Registry record updated Sep 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CARING EDGE OP LLC
Practice address
77 N Fisher Park Way
Eagle, ID 83616
Phone
(208) 473-2717
Fax
(877) 890-5617
NPI assigned
Nov 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2018

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

Authorized official

Name
Christopher Lougheed, DPT
Title
Provider/Authorized Official
Phone
(208) 866-9001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

77 N Fisher Park Way
Eagle, ID 83616

Mailing address

2965 E Tarpon Dr Ste 150
Meridian, ID 83642-9007
Phone (208) 287-9420

Other practice location 1

1255 N Allen Ave
Fruitland, ID 83619-2208
Phone (208) 972-0918

Other practice location 2

800 16th Ave SE
Minot, ND 58701-6781
Phone (701) 852-1399

Other practice location 3

3124 Colorado Ln
Bismarck, ND 58503-5447
Phone (701) 751-5325

Other practice location 4

3406 Dominion St
Bismarck, ND 58503-5577
Phone (701) 258-7489

Other practice location 5

2801 39th Ave SE
Mandan, ND 58554-6430
Phone (701) 663-5664

Other practice location 6

3207 Colonial Dr
Helena, MT 59601-8613
Phone (406) 204-5505

Other practice location 7

4010 N College Dr
Cheyenne, WY 82001-1960
Phone (307) 414-8394

Other practice location 8

12450 Cloud Dr NE
Blaine, MN 55449-6274
Phone (763) 777-7117

Other practice location 9

4606 N College Dr
Cheyenne, WY 82009-5456
Phone (307) 414-8394

Other practice location 10

4420 37th Ave S
Fargo, ND 58104-3400
Phone (701) 365-4771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, MN, WY, MT, SD5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
O20180423002099 ND Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6406114131 Receives reassigned benefits from 13 practitioners
Practice locations: Bismarck, ND; Fargo, ND; Mandan, ND; Minot, ND
O20180802001325 MN Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6406114131 Receives reassigned benefits from 10 practitioners
Practice locations: Baxter, MN; Brainerd, MN; Hermantown, MN
O20180814002223 WY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6406114131 Receives reassigned benefits from 5 practitioners
Practice locations: Cheyenne, WY; Casper, WY
O20180818000071 MT Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6406114131 Receives reassigned benefits from 2 practitioners
Practice locations: Helena, MT
O20180920001846 SD Part B Supplier - Clinic/Group Practice 6406114131 Receives reassigned benefits from 15 practitioners
Practice locations: Pierre, SD; Rapid City, SD; Sioux Falls, SD; Spearfish, SD; Watertown, SD

National Provider Directory

National Provider Directory

Locations

815 S Bridgeway Pl
Ste 100
Eagle, ID 83616
Phone (208) 918-3392

815 S Bridgeway Pl
Ste 122
Eagle, ID 83616
Phone (208) 972-0918

520 28th Ave SE
Minot, ND 58701

3955 E 12th St
Ste 150
Casper, WY 82609
Phone (307) 554-7861

Practitioners & affiliated clinicians

Practitioners 55

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

View all 55

NPI Registry JSON

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

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536105600000",
    "number": "1700399359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2965 E TARPON DR STE 150",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836429007",
            "telephone_number": "208-287-9420",
            "fax_number": "208-287-9426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 N FISHER PARK WAY",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "83616",
            "telephone_number": "208-473-2717",
            "fax_number": "877-890-5617"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1255 N Allen Ave",
            "address_purpose": "LOCATION",
            "city": "Fruitland",
            "state": "ID",
            "postal_code": "836192208",
            "country_code": "US",
            "telephone_number": "208-972-0918",
            "fax_number": "877-890-5617",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 16th Ave SE",
            "address_purpose": "LOCATION",
            "city": "Minot",
            "state": "ND",
            "postal_code": "587016781",
            "country_code": "US",
            "telephone_number": "701-852-1399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3124 Colorado Ln",
            "address_purpose": "LOCATION",
            "city": "Bismarck",
            "state": "ND",
            "postal_code": "585035447",
            "country_code": "US",
            "telephone_number": "701-751-5325",
            "fax_number": "701-751-5533",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3406 Dominion St",
            "address_purpose": "LOCATION",
            "city": "Bismarck",
            "state": "ND",
            "postal_code": "585035577",
            "country_code": "US",
            "telephone_number": "701-258-7489",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2801 39th Ave SE",
            "address_purpose": "LOCATION",
            "city": "Mandan",
            "state": "ND",
            "postal_code": "585546430",
            "country_code": "US",
            "telephone_number": "701-663-5664",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3207 Colonial Dr",
            "address_purpose": "LOCATION",
            "city": "Helena",
            "state": "MT",
            "postal_code": "596018613",
            "country_code": "US",
            "telephone_number": "406-204-5505",
            "fax_number": "406-204-5515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4010 N College Dr",
            "address_purpose": "LOCATION",
            "city": "Cheyenne",
            "state": "WY",
            "postal_code": "820011960",
            "country_code": "US",
            "telephone_number": "307-414-8394",
            "fax_number": "307-316-8125",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12450 Cloud Dr NE",
            "address_purpose": "LOCATION",
            "city": "Blaine",
            "state": "MN",
            "postal_code": "554496274",
            "country_code": "US",
            "telephone_number": "763-777-7117",
            "fax_number": "651-401-0598",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4606 N College Dr",
            "address_purpose": "LOCATION",
            "city": "Cheyenne",
            "state": "WY",
            "postal_code": "820095456",
            "country_code": "US",
            "telephone_number": "307-414-8394",
            "fax_number": "307-316-8125",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4420 37th Ave S",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581043400",
            "country_code": "US",
            "telephone_number": "701-365-4771",
            "fax_number": "701-365-8134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARING EDGE OP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-06",
        "last_updated": "2018-09-05",
        "status": "A",
        "authorized_official_last_name": "LOUGHEED",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PROVIDER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "208-866-9001",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.