Individual provider Active NPI

Jami Lee Todd, MPT CSCS

  • Physical Therapist
  • Coeur d'Alene, ID
National Provider Identifier
1851370613
Registry record updated Aug 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
03392 Issued in IA
Practice address
3322 Grand Mill Lane
Coeur D Alene, ID 83814
Phone
(208) 665-2000
Fax
(208) 665-2009
NPI assigned
Jan 11, 2006
Last updated
Aug 22, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2008

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 03392 IA Primary
Physical Therapist 225100000X PT-2391 ID

Addresses

Primary practice location

3322 Grand Mill Lane
Coeur D Alene, ID 83814

Mailing address

1590 E Polston Ave
Suite B
Post Falls, ID 83854-5218
Phone (208) 777-4242

Other identifiers 1

IdentifierTypeStateIssuer
808068700MedicaidID

Other names 1

  • Ms. Jami Lee Hartwig Former name

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

LicenseStateTypeSpecialty
03392IAMDPhysical Therapist
PT-2391IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Physical Therapy, PC Physical Therapist PastSince Feb 1, 2003 Accepting new patients
Pinnacle Physical Therapy and Sports Medicine, Inc Physical Therapist PastSince Apr 1, 2007 Accepting new patients
Sportsplus Sports Medicine and Physical Therapy Center Inc PastSince Jun 1, 1999 Accepting new patients
Summit Rehabilitation Associates, PLLC Physical Therapist Past Accepting new patients
Sportsplus Physical Therapy GC LLC Physical Therapist Past Accepting new patients

Organizations & group practices 5

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": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219363200000",
    "number": "1851370613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1590 E POLSTON AVE",
            "address_2": "SUITE B",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838545218",
            "telephone_number": "208-777-4242",
            "fax_number": "208-777-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3322 GRAND MILL LANE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "83814",
            "telephone_number": "208-665-2000",
            "fax_number": "208-665-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODD",
        "first_name": "JAMI",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "MPT CSCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-11",
        "last_updated": "2008-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "03392",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-2391",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "808068700",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMI",
            "last_name": "HARTWIG",
            "middle_name": "LEE",
            "prefix": "MS.",
            "credential": "MPT CSCS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coeur d'Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; 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.