Individual provider Active NPI

Ivanka Caroline Kuran, PT

  • Physical Therapist
  • Coeur d'Alene, ID
National Provider Identifier
1871654673
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-1656 Issued in ID
Practice address
7600 N Mineral Dr Ste 111
Coeur D Alene, ID 83815-9169
Phone
(208) 457-4208
Fax
(208) 457-4197
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT-1656 ID Primary

Addresses

Primary practice location

7600 N Mineral Dr Ste 111
Coeur D Alene, ID 83815-9169

Mailing address

1593 E Polston Ave
Post Falls, ID 83854-5326
Phone (208) 262-2300

Other identifiers 1

IdentifierTypeStateIssuer
1871654673MedicaidID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040518000936 ID Practitioner - Physical Therapist in Private Practice 7113918301 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
North Idaho Day Surgery LLC CurrentSince Feb 1, 2021 Accepting new patients
River City Physical Therapy Physical Therapist PastSince Sep 14, 1995 Accepting new patients

Locations

7600 N Mineral Dr
Ste 111
Dalton Gardens, ID 83815
Phone (208) 457-4208

7600 N Mineral Dr
Ste 450
Dalton Gardens, ID 83815
Phone (208) 457-4208

750 N Syringa St
Ste 100
Post Falls, ID 83854
Phone (208) 262-2600

1551 E Mullan Ave
Ste 102
Post Falls, ID 83854
Phone (208) 262-2328

1641 E Polston Ave
Ste 101
Post Falls, ID 83854
Phone (208) 457-4208

1593 E Polston Ave
Post Falls, ID 83854
Phone (208) 262-2300

Interoperability endpoints

  • Direct secure messaging: ivanka.kuran.1@15112.direct.athenahealth.com

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, 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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1871654673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1593 E POLSTON AVE",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838545326",
            "telephone_number": "208-262-2300",
            "fax_number": "208-262-2390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 N MINERAL DR STE 111",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838159169",
            "telephone_number": "208-457-4208",
            "fax_number": "208-457-4197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURAN",
        "first_name": "IVANKA",
        "middle_name": "CAROLINE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-1656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871654673",
            "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 Dec 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.