Mountain View Physiatry

Primary specialty

Neuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081N0008X

Legal business name

MOUNTAIN VIEW PHYSIATRY

Practice address

1138 E Poleline Ave
Post Falls, ID 83854-6150

Phone

(208) 777-5511

Fax

(724) 426-8936

NPI assigned

Oct 13, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Neilly Buckalew, MDNPI 1811214786

Title

Physician/Co-Owner

Phone

(208) 777-5511

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Neilly Ann Buckalew, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Coeur D Alene, ID
  • NPI 1811214786
  NPD (past) Authorized official

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

{
    "created_epoch": "1697155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702857600000",
    "number": "1760263883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1869 E SELTICE WAY # 531",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838547019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1138 E POLELINE AVE",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838546150",
            "telephone_number": "208-777-5511",
            "fax_number": "724-426-8936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VIEW PHYSIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-13",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A",
        "authorized_official_last_name": "BUCKALEW",
        "authorized_official_first_name": "NEILLY",
        "authorized_official_title_or_position": "PHYSICIAN/CO-OWNER",
        "authorized_official_telephone_number": "208-777-5511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081N0008X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn Toole Mork, RN
• Ryan Thomas Morris, PA-C
• Patricia Morrow, RN
• Melanie Jane Moss
• Mountain Top Counseling Inc
• Jared Mudge, PA-C
• James P Mullen, M.D.
• Kevin Patrick Mulvey, MD
• Amber Naccarato
• Lee Edward Nagle, PT, DPT

• Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician in Post Falls, ID
• Providers in Post Falls, ID by specialty
• Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.