Individual provider Active NPI

Zhohnann Kathleen Piva Thayn, PT

  • Physical Therapist
  • Challis, ID
National Provider Identifier
1962666164
Registry record updated Oct 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2402 Issued in ID
Practice address
510 N Highway 93
Challis, ID 83226
Phone
(208) 454-9839
NPI assigned
Jul 16, 2008
Last updated
Oct 12, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2012

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 2402 ID Primary

Addresses

Primary practice location

510 N Highway 93
Challis, ID 83226

Mailing address

PO Box 707
Challis, ID 83226-0707
Phone (208) 859-9570

Other names 1

  • Zhohnann Kathleen Piva Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080917000374 ID Practitioner - Physical Therapist in Private Practice 6305913328 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Therapy Clinic,Inc.Group PAC ID 3274788807, 2 clinicians

Practice addresses (Care Compare)

802 Shoup St
Salmon, ID 83467-4305
Phone (208) 756-2005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2402IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Clinic,Inc. CurrentSince Mar 15, 2013 Accepting new patients
Altitude Physical Therapy, Inc. PastSince Jul 28, 2005 Accepting new patients

Locations

802 Shoup St
Salmon, ID 83467
Phone (208) 756-2005

Organizations & group practices 3

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": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350000000000",
    "number": "1962666164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 707",
            "city": "CHALLIS",
            "state": "ID",
            "postal_code": "832260707",
            "telephone_number": "208-859-9570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 N HIGHWAY 93",
            "city": "CHALLIS",
            "state": "ID",
            "postal_code": "83226",
            "telephone_number": "208-454-9839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAYN",
        "first_name": "ZHOHNANN",
        "middle_name": "KATHLEEN PIVA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-16",
        "last_updated": "2012-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "2402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZHOHNANN",
            "last_name": "PIVA",
            "middle_name": "KATHLEEN",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Challis, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; 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.