Angela Sarah Rummell, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

1450 Northwest Blvd
Suite 106
Coeur D'Alene, ID 83814-5605

Phone

(208) 667-6264

Fax

(208) 664-4313

NPI assigned

Dec 17, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Angela Sarah Gaignard Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ironwood Drive Physical Therapy PAGroup PAC ID 1557345436, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Ironwood Drive Physical Therapy, PA

  • Physical Therapist
  • Coeur D Alene, ID
  • NPI 1801812482
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1982242210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 NORTHWEST BLVD",
            "address_2": "SUITE 106",
            "city": "COEUR D'ALENE",
            "state": "ID",
            "postal_code": "838145605",
            "telephone_number": "208-667-6264",
            "fax_number": "208-664-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 NORTHWEST BLVD",
            "address_2": "SUITE 106",
            "city": "COEUR D'ALENE",
            "state": "ID",
            "postal_code": "838145605",
            "telephone_number": "208-667-6264",
            "fax_number": "208-664-4313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUMMELL",
        "first_name": "ANGELA",
        "middle_name": "SARAH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-17",
        "last_updated": "2024-06-07",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "43112 15th St W",
            "city": "Lancaster",
            "state": "CA",
            "country_code": "US",
            "postal_code": "935346219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "GAIGNARD",
            "middle_name": "SARAH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• R. Randy Hopkins M.D. P.a
• Carissa M Richardson, MD
• Robert William Hagen M.D., Inc.
• Richard J Robinson, M.D.
• Robert Daniel Rohlmeier, L.AC., LMT
• Spencer D Greendyke MD LLC
• Christine Lee Stanton, M.S., CCC - SLP
• Christopher Alan Stoddard, DPT, OTR/L
• Heidi Jean Josenia Strong, AUD
• Shandray Surmeyer, CRC, COUNSELOR INTER

• 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 Jun 7, 2024; 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.