Individual provider Active NPI

Craig L Hamann, D.P.T.

  • Specialist
  • Fruitland, ID
National Provider Identifier
1942248596
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT-2068 Issued in ID
Practice address
215 N Whitley Dr
Suite 1
Fruitland, ID 83619-2705
Phone
(208) 452-6366
Fax
(208) 452-6399
NPI assigned
Jun 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PT-2068 ID Primary

Addresses

Primary practice location

215 N Whitley Dr
Suite 1
Fruitland, ID 83619-2705

Mailing address

215 N Whitley Dr
Ste 1
Fruitland, ID 83619-2706
Phone (208) 452-6366

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060801000408 ID Practitioner - Physical Therapist in Private Practice 5597778951 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-City Physical Therapy P CGroup PAC ID 7517933484, 3 clinicians

Practice addresses (Care Compare)

215 N Whitley Dr
Suite 1
Fruitland, ID 83619-2706
Phone (208) 452-6366

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-City Physical Therapy, P.C. Specialist Current Accepting new patients
Tri-City Physical Therapy, P.C. Specialist CurrentSince Jun 1, 2006 Accepting new patients

Locations

215 N Whitley Dr
Ste 1
Fruitland, ID 83619
Phone (208) 452-6366

275 E 7th St
Weiser, ID 83672
Phone (208) 549-1008

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": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1942248596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N WHITLEY DR",
            "address_2": "STE 1",
            "city": "FRUITLAND",
            "state": "ID",
            "postal_code": "836192706",
            "telephone_number": "208-452-6366",
            "fax_number": "208-452-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N WHITLEY DR",
            "address_2": "SUITE 1",
            "city": "FRUITLAND",
            "state": "ID",
            "postal_code": "836192705",
            "telephone_number": "208-452-6366",
            "fax_number": "208-452-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMANN",
        "first_name": "CRAIG",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "ID",
            "license": "PT-2068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fruitland, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.