Individual provider Active NPI

Torin Edward Starkey, PTA

  • Physical Therapy Assistant
  • Coeur D Alene, ID
National Provider Identifier
1861965246
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA-3751 Issued in ID
Practice address
1321 N Northwood Center CT Ste B
Coeur D Alene, ID 83814-4944
Phone
(208) 665-7055
Fax
(208) 665-7093
NPI assigned
Jan 8, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA-3751 ID Primary

Addresses

Primary practice location

1321 N Northwood Center CT Ste B
Coeur D Alene, ID 83814-4944

Mailing address

1321 N Northwood Center CT Ste B
Coeur D Alene, ID 83814-4944
Phone (206) 665-7055

Other identifiers 1

IdentifierTypeStateIssuer
PTA-3751OtherIDSTATE OF IDAHO BOARD OF OCCUPATIONAL LICENCES

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTA-3751IDMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Physical Therapy and Sports Medicine, Inc PastSince Apr 1, 2007 Accepting new patients
Summit Rehabilitation Associates, PLLC Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1861965246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 N NORTHWOOD CENTER CT STE B",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144944",
            "telephone_number": "206-665-7055",
            "fax_number": "208-665-7093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 N NORTHWOOD CENTER CT STE B",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144944",
            "telephone_number": "208-665-7055",
            "fax_number": "208-665-7093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARKEY",
        "first_name": "TORIN",
        "middle_name": "EDWARD",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-08",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "ID",
            "license": "PTA-3751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF IDAHO BOARD OF OCCUPATIONAL LICENCES",
            "identifier": "PTA-3751",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Sep 5, 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.