Individual provider Active NPI

Valda Ann Vitolins, MPT

  • Physical Therapist
  • Coeur D Alene, ID
National Provider Identifier
1902921083
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-6523 Issued in ID
Practice address
301 N 3Rd St
Coeur D Alene, ID 83814-2861
Phone
(208) 215-2210
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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-6523 ID Primary

Addresses

Primary practice location

301 N 3Rd St
Coeur D Alene, ID 83814-2861

Mailing address

301 N 3Rd St
Coeur D Alene, ID 83814-2861
Phone (208) 215-2210

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230124000235 ID Practitioner - Physical Therapist in Private Practice 7810251493 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Southern California Keck School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Activenw LLCGroup PAC ID 1153683958, 3 clinicians

Practice addresses (Care Compare)

301 N 3Rd St
Coeur D Alene, ID 83814-2861
Phone (208) 215-2210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-6523IDMDPhysical Therapist
011154OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
In Touch Physical Therapy and Sports Medicine Physical Therapist CurrentSince Dec 1, 2022 Accepting new patients
Activenw, LLC Physical Therapist CurrentSince Jul 19, 2024 Accepting new patients
In Touch Physical Therapy and Sports Medicine Physical Therapist CurrentSince Dec 1, 2022 Accepting new patients
North Idaho Day Surgery LLC CurrentSince Sep 1, 2025 Accepting new patients

Locations

301 N 3rd St
Coeur D Alene, ID 83814
Phone (208) 215-2210

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

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

104 W 9th Ave
Post Falls, ID 83854
Phone (208) 777-9740

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1902921083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N 3RD ST",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142861",
            "telephone_number": "208-215-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N 3RD ST",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142861",
            "telephone_number": "208-215-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITOLINS",
        "first_name": "VALDA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-6523",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 19, 2026; 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.