Kristin Arvidson, PT, DPT
Individual provider Active NPI Physical Therapist · Sandpoint, ID
NPI 1972020568 · NPPES record last updated Aug 24, 2017
Key facts
- NPI
- 1972020568
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5343 (ID)
- Practice address
- 1218 N Division Ave Ste 102
Sandpoint, ID 83864-5054 - Phone
- (208) 255-7337
- NPI assigned
- Aug 24, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1221 Michigan St
Sandpoint, ID 83864-1745
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251211003301 | ID | Practitioner - Physical Therapist in Private Practice | 7012401532 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5343 | ID | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids in Motion Physical Therapy, PC | Physical Therapist | Current |
Accepting new patients |
Locations
110 Tibbetts Ln
Ste 1
Ponderay, ID 83852
Phone (208) 255-7337
1221 Michigan St
Sandpoint, ID 83864
Phone (208) 265-0534
1218 N Division Ave
Ste 102
Sandpoint, ID 83864
Phone (208) 255-7337
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5343 | ID | Yes |
Addresses
Primary practice location
1218 N Division Ave Ste 102
Sandpoint, ID 83864-5054
Mailing address
829 Barrette St
Crookston, MN 56716-2710
Phone (218) 280-9620
Other providers in Sandpoint, ID
- Janie Arambarri
- Susan Christine Arima
- Kristine Armstrong
- Jeanne Marie Arnold
- James Rob Aronow
- Ash Tree Wellness, LLC
- Susan Marie Ashford Tucker
- Atman Counseling
- Sandra Avy
- Donnamarie Aylward
All providers in Sandpoint, ID · Physical Therapist in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.