Active NPI
Kelly Andrew Steiger, PT
- Physical Therapist
- Lewiston, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT804
- 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, 2023
- 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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 806462900 | Medicaid | ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT804 | ID | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| S.P.O.R.T. Physical Therapy Clinic | Physical Therapist | Current | Accepting new patients |
| S.P.O.R.T. Physical Therapy Clinic | Physical Therapist | Current | 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.
-
- Physical Therapy Clinic/Center
- Lewiston, ID
- NPI 1215011754
Physical Therapist
-
- Physical Therapist
- Lewiston, ID
- NPI 1437671021
-
- Durable Medical Equipment & Medical Supplies
- Lewiston, ID
- NPI 1720756190
-
- Physical Therapy Clinic/Center
- Clarkston, WA
- NPI 1073697512
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
- St. Joseph Regional Medical Center
- St. Joseph Regional Medical Center
- St. Joseph's Regional Medical Center
- Catherine Marie Staab, LCPC
- Lisa Ann Stauffer, CPHT
- Lacey Steinwand
- Stephen Brockbank O.D. L.L.C. (Alpine Vision Center)
- James Stephenson, PTA
- Sterling Provider Group
- Steven E Ozeran, M.D., P.a.
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.