Peter Faletto, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT1746 Issued in ID

Practice address

3655 N Government Way
Suite 3
Coeur D Alene, ID 83815-8332

Phone

(208) 691-8888

NPI assigned

Aug 27, 2007

Last updated

Aug 27, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Pure Inc

  • Physical Therapist
  • Coeur d'Alene, ID
  • NPI 1083809008
  Authorized official Same address or phone
• Neuropathy Clinic L.L.C.

  • Case Manager/Care Coordinator
  • Wallace, ID
  • NPI 1366648487
  NPD (past)
• Physical Therapy Center of Post

  • Physical Therapist
  • Post Falls, ID
  • NPI 1134296510
  NPD (past)

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188172800000",
    "number": "1952594574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3655 N GOVERNMENT WAY",
            "address_2": "SUITE 3",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838158332",
            "telephone_number": "208-691-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 N GOVERNMENT WAY",
            "address_2": "SUITE 3",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838158332",
            "telephone_number": "208-691-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALETTO",
        "first_name": "PETER",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-27",
        "last_updated": "2007-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT1746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDAHO STATE LICENSE",
            "identifier": "PT1746",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eyemart Express LLC
• Susan G. Fabrikant, M.S.W.
• Lance William Fagan, O.D.
• Kathleen Fairbanks, LCSW
• Walter Raymond Fairfax, MD
• James Fallin, MD
• Family Health Associates, P.a.
• Family Hearing Center of Idaho, LLC
• Family Medicine Coeur D'Alene, P.a.
• Family Practice by the Lake LLC

• Physical Therapist in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; 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.