Orthopedic Surgery and Sports

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ORTHOPEDIC SURGERY AND SPORTS

Doing business as

Orthopedic Physical Therapy Institute

Practice address

8468 N Wayne Dr
Hayden, ID 83835

Phone

(208) 966-4475

NPI assigned

Mar 17, 2023

Last updated

Mar 17, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

ORTHOPEDIC SURGERY AND SPORTSAs reported in NPPES

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

Authorized official

Name

Roger Dunteman, MDNPI 1740390137

Title

Owner

Phone

(208) 664-2175

Specialties & licenses 1

Addresses

Other names 1

• Orthopedic Physical Therapy Institute Doing business as

Part of

Orthopedic Surgery and Sports

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Orthopedic Surgery and Sports

  • Orthopaedic Surgery Physician
  • Coeur d'Alene, ID
  • NPI 1083729438
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roger Charles Dunteman, MD

  • Orthopaedic Surgery Physician
  • Coeur d'Alene, ID
  • NPI 1740390137
  Authorized official Same address or phone

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

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679011200000",
    "number": "1700588530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 W IRONWOOD DR STE 202",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144903",
            "telephone_number": "208-664-2175",
            "fax_number": "208-770-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8468 N WAYNE DR",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "83835",
            "telephone_number": "208-966-4475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC SURGERY AND SPORTS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORTHOPEDIC SURGERY AND SPORTS",
        "enumeration_date": "2023-03-17",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-15",
        "status": "A",
        "authorized_official_last_name": "DUNTEMAN",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-664-2175",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthopedic Physical Therapy Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael L Oglesbay, D.O.
• Mitchell Scott Olson, DDS
• Onsite Diagnostic Solutions
• Becky Kathleen Orchard
• Brian K Orchard, LCSW
• Overland Wellness PLLC (Dauntless Outdoor)
• Heather L. Overland, NMD, LAC
• Pacific Wellness LLC
• Ashlynn Kaye Padmore, SOCIAL WORKER
• Jennifer G Palmer, FNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; 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.