Individual provider Active NPI

Kelly Andrew Steiger, PT

  • Physical Therapist
  • Lewiston, ID
National Provider Identifier
1831139294
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT804 Issued in ID
Practice address
328 Warner Dr
Ste 8
Lewiston, ID 83501-4441
Phone
(208) 746-7573
Fax
(208) 746-4519
NPI assigned
Jun 7, 2006
Last updated
Apr 4, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT00006215 WA
Physical Therapist 225100000X PT804 ID Primary

Addresses

Primary practice location

328 Warner Dr
Ste 8
Lewiston, ID 83501-4441

Mailing address

328 Warner Dr
Ste 8
Lewiston, ID 83501-4441
Phone (208) 746-7573

Other identifiers 1

IdentifierTypeStateIssuer
806462900MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111221000582 ID Practitioner - Physical Therapist in Private Practice 0648479576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

328 Warner Dr
Suite 8
Lewiston, ID 83501-4441
Phone (208) 746-7573

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT804IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
S.P.O.R.T. Physical Therapy Clinic Physical Therapist CurrentSince Dec 1, 1999 Accepting new patients
S.P.O.R.T. Physical Therapy Clinic Physical Therapist CurrentSince Dec 1, 1999 Accepting new patients

Locations

328 Warner Dr
Ste 8
Lewiston, ID 83501
Phone (208) 746-7573

3506 12th St
Lewiston, ID 83501
Phone (208) 746-0214

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1831139294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 WARNER DR",
            "address_2": "STE 8",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835014441",
            "telephone_number": "208-746-7573",
            "fax_number": "208-746-4519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 WARNER DR",
            "address_2": "STE 8",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835014441",
            "telephone_number": "208-746-7573",
            "fax_number": "208-746-4519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEIGER",
        "first_name": "KELLY",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00006215",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806462900",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.