Active NPI
John Wesley Linhart, PT
- Physical Therapist
- Fruitland, ID
National Provider Identifier
1740426196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 64
- Practice address
- 1116 NW 16TH Street
Fruitland, ID 83619 - Phone
- (208) 452-6505
- NPI assigned
- Jan 6, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5769 | OR | |
| Physical Therapist | 225100000X | 64 | ID | Primary |
Addresses
Primary practice location
1116 NW 16TH Street
Fruitland, ID 83619
Mailing address
509 W Cobblestone PL
Nampa, ID 83651-2581
Phone (208) 467-1831
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64 | ID | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231200000000",
"number": "1740426196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 W COBBLESTONE PL",
"city": "NAMPA",
"state": "ID",
"postal_code": "836512581",
"telephone_number": "208-467-1831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1116 NW 16TH STREET",
"city": "FRUITLAND",
"state": "ID",
"postal_code": "83619",
"telephone_number": "208-452-6505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINHART",
"first_name": "JOHN",
"middle_name": "WESLEY",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-06",
"last_updated": "2009-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "5769",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "64",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fruitland, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.