Active NPI
Anthony M McFadden
- Physical Therapist
- Hayden, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3061379
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Sports
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Surgery and Sports | Physical Therapist | Current | Accepting new patients |
| Orthopedic Surgery and Sports | Current | 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.
-
- Orthopaedic Surgery Physician
- Coeur D Alene, ID
- NPI 1083729438
ID, Physical Therapist
-
- Orthopedic Physical Therapist
- Coeur D Alene, ID
- NPI 1992208631
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.