North Idaho Rehabilitation Medicine, PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

M-11628 Issued in ID

Legal business name

NORTH IDAHO REHABILITATION MEDICINE, PLLC

Practice address

600 N Cecil Rd
Post Falls, ID 83854-6200

Phone

(509) 293-2276

Fax

(818) 889-0517

NPI assigned

Aug 22, 2013

Last updated

Aug 22, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Scott E. Grosse, MD

Title

Owner

Phone

(509) 293-2276

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1377129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377129600000",
    "number": "1760816037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 W RAINIER CT",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992089259",
            "telephone_number": "509-293-2276",
            "fax_number": "818-889-0517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N CECIL RD",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838546200",
            "telephone_number": "509-293-2276",
            "fax_number": "818-889-0517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH IDAHO REHABILITATION MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-22",
        "last_updated": "2013-08-22",
        "status": "A",
        "authorized_official_last_name": "GROSSE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-293-2276",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "ID",
            "license": "M-11628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Idaho Family Physicians, LLC (After Hours Urgent Care Clinic)
• North Idaho Family Practice LLC
• North Idaho Immediate Care
• North Idaho Neurosurgery and Spine, PLLC
• North Idaho Plastic and Reconstructive Surgery Inc.
• North Idaho Worker Care
• Northern Idaho Advanced Care Hospital Inc
• Northern Idaho Advanced Care Hospital Inc (NIACH Physician Group)
• Northern Idaho Advanced Care Hospital Inc
• Northern Idaho Caregiving LLC (Happy to Help Caregiving)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; 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.