Individual provider Active NPI

Anthony M McFadden

  • Physical Therapist
  • Hayden, ID
National Provider Identifier
1992535264
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3061379 Issued in ID
Practice address
8468 N Wayne Dr
Hayden, ID 83835-6025
Phone
(208) 601-6038
Fax
(208) 664-1226
NPI assigned
Aug 2, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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 3061379 ID Primary

Addresses

Primary practice location

8468 N Wayne Dr
Hayden, ID 83835-6025

Mailing address

850 W Ironwood Dr Ste 202
Coeur D Alene, ID 83814-4903
Phone (208) 601-6038

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240913001982 ID Practitioner - Physical Therapist in Private Practice 3375083397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Surgery and SportsGroup PAC ID 3375519168, 28 clinicians

Practice addresses (Care Compare)

1160 E Polston Ave
Suite B
Post Falls, ID 83854-6045
Phone (208) 262-0156

1812 N Lakewood Dr
Suite 100
Coeur D Alene, ID 83814-2635
Phone (208) 966-4476

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Surgery and Sports Physical Therapist CurrentSince Aug 5, 2024 Accepting new patients
Orthopedic Surgery and Sports CurrentSince Aug 5, 2024 Accepting new patients

Locations

850 W Ironwood Dr
Ste 202
Coeur D Alene, ID 83814
Phone (208) 601-6038

1812 N Lakewood Dr
Ste 100
Coeur D Alene, ID 83814
Phone (208) 770-2971

8468 N Wayne Dr
Hayden, ID 83835
Phone (208) 601-6060

1160 E Polston Ave
#B
Post Falls, ID 83854
Phone (208) 262-0156

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": "1722556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1992535264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 W IRONWOOD DR STE 202",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144903",
            "telephone_number": "208-601-6038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8468 N WAYNE DR",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838356025",
            "telephone_number": "208-601-6038",
            "fax_number": "208-664-1226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCFADDEN",
        "first_name": "ANTHONY",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-02",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "3061379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayden, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.