Organization Active NPI

Cda Hand Therapy & Healing Center PA

  • Occupational Therapist
  • Coeur d'Alene, ID
National Provider Identifier
1710960463
Registry record updated Jun 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
CDA HAND THERAPY & HEALING CENTER PA
Practice address
2448 Merritt Creek Loop
Suite 2a
Coeur D Alene, ID 83814-4953
Phone
(208) 664-2901
Fax
(208) 667-9266
NPI assigned
Nov 28, 2005
Last updated
Jun 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2011

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

Authorized official

Name
Ms. Virginia TaftNPI 1295718948
Title
Owner/President
Phone
(208) 664-2901

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NU
Occupational Therapist 225X00000X NU Primary

Addresses

Primary practice location

2448 Merritt Creek Loop
Suite 2a
Coeur D Alene, ID 83814-4953

Mailing address

2448 Merritt Creek Loop
Suite 2a
Coeur D Alene, ID 83814-4953
Phone (208) 664-2901

Other identifiers 11

IdentifierTypeStateIssuer
QMXPR0060660OtherMOLINA
TID NPI SSNOtherFIRST CHOICE
000010026877OtherREGENCE
100000120993OtherREGENCE
185598800OtherFEDERAL L&I
DA3588OtherRAILROAD MEDICARE
TID 91051 NPIOtherGROUP HEALTH
5003984OtherREGENCE MED ADVANTAGE
M0026441 171096043MedicaidID
T9784OtherIDBLUE CROSS OF IDAHO
0063788OtherWA L&I

National Provider Directory

National Provider Directory

Locations

1052 W Mill Ave
Coeur D Alene, ID 83814
Phone (208) 664-3301

1400 N Northwood Center Ct
Ste B
Coeur D Alene, ID 83814
Phone (208) 664-2901

2448 N Merritt Creek Loop
Ste 2A
Coeur D Alene, ID 83814
Phone (208) 664-2901

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308787200000",
    "number": "1710960463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2448 MERRITT CREEK LOOP",
            "address_2": "SUITE 2A",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144953",
            "telephone_number": "208-664-2901",
            "fax_number": "208-667-9266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2448 MERRITT CREEK LOOP",
            "address_2": "SUITE 2A",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144953",
            "telephone_number": "208-664-2901",
            "fax_number": "208-667-9266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CDA HAND THERAPY & HEALING CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-28",
        "last_updated": "2011-06-23",
        "status": "A",
        "authorized_official_last_name": "TAFT",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "208-664-2901",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA",
            "identifier": "QMXPR0060660",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CHOICE",
            "identifier": "TID NPI SSN",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "000010026877",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "100000120993",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL L&I",
            "identifier": "185598800",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA3588",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH",
            "identifier": "TID 91051 NPI",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE MED ADVANTAGE",
            "identifier": "5003984",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M0026441 171096043",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "T9784",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA L&I",
            "identifier": "0063788",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur d'Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; 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.