SPORTS MEDICINE SERVICES INC (NPI# 1023182920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023182920 |
| Entity Type | Organization |
| Organization Name | SPORTS MEDICINE SERVICES INC |
| Practice Address |
925 E Polston Ave Post Falls ID 83854-9049 |
| Mailing Address |
1003 N Drury Ct Liberty Lake WA 99019-8536 |
| Practice Telephone | 2087728147 |
| Mailing Telephone | 2087728147 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DAVID ANDREWS (OWNER) |
| Authorized Official Telephone | 2087728147 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT1049 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
925 E POLSTON AVE |
| City | POST FALLS |
| State | ID |
| Zip Code | 83854-9049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093768707 | Leanne M Rousseau | Family Medicine | 925 E Polston Ave, Post Falls, ID 83854-9049 | 2006-05-17 |
| 1053878454 | Laboratory Corporation of America | Clinical Medical Laboratory | 925 E Polston Ave, Post Falls, ID 83854-9049 | 2019-02-22 |
| 1659842797 | Lindsey Nicole Page | Nurse Practitioner | 925 E Polston Ave, Post Falls, ID 83854-9049 | 2018-12-16 |
| 1982153235 | Calli Ford | Social Worker | 925 E Polston Ave, Post Falls, ID 83854-9049 | 2016-09-28 |
| 1841696952 | Dirne Health Centers, Inc. | Physician Assistant | 925 E Polston Ave, Post Falls, ID 83854-9049 | 2014-11-17 |
| 1699170688 | Tyson Thorpe | Physician Assistant | 925 E Polston Ave, Post Falls, ID 83854 | 2014-11-03 |
| 1952721011 | Vanessa Susan Wright | Family Medicine | 925 E Polston Ave, Post Falls, ID 83854-9049 | 2014-04-16 |
| 1003245044 | Michael Eugene Wigle | Nurse Practitioner | 925 E Polston Ave, Post Falls, ID 83854-9049 | 2013-11-08 |
| 1093960486 | Therapeutic Associates, Inc. | Clinic/Center | 925 E Polston Ave, Suite B, Post Falls, ID 83854-9049 | 2008-11-26 |
| 1477689198 | North Idaho Family Care | Family Medicine | 925 E Polston Ave, Post Falls, ID 83854-9049 | 2007-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487264032 | Esteem Counseling, LLC | Counselor | 1404 North Marcasite Court, Post Falls, ID 83854 | 2020-08-07 |
| 1497376685 | Teresa Marie Ragan | Registered Nurse | 1551 E Mullan Ave Bldg A, Ste 200b, Post Falls, ID 83854 | 2020-04-29 |
| 1245792910 | Samantha Patricia Bourassa | Specialist/Technologist | 2832 E Poleline Ave, Post Falls, ID 83854 | 2019-04-02 |
| 1003392598 | Joshua Welz | Psychologist | 3211 N Guinness Ln Apt 201, Post Falls, ID 83854 | 2018-07-17 |
| 1639608094 | Anthony Leodis Walls Jr. | Specialist/Technologist | 8732 N Meyer Rd, Post Falls, ID 83854 | 2017-06-08 |
| 1831635911 | Glenda Felts | Social Worker | 8561 N Cloverleaf Rd, # 22, Hauser, ID 83854 | 2017-01-12 |
| 1144763467 | Rachel M. Pope | Behavioral Analyst | 204 E 1st Ave Apt 4, Post Falls, ID 83854 | 2016-11-18 |
| 1871960393 | Randy Robinson | Massage Therapist | 2525 E Seltice Way Ste C, Post Falls, ID 83854 | 2015-09-01 |
| 1194112375 | James Bailey | Family Medicine | 185 W 4th Ave Ste B, Post Falls, ID 83854 | 2015-04-24 |
| 1033534953 | Lauren Tandy | Speech-Language Pathologist | 398 S. Corbin Rd., Post Falls, ID 83854 | 2014-02-28 |
| Find all providers in zip 83854 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265741730 | Shawna Lea Clegg | Physical Therapist | 1160 E Polston Ave Ste B, Post Falls, ID 83854-6045 | 2010-10-01 |
| 1619102621 | Shawn Glenn Moehring | Physical Therapist | 927 E Polston Ave, Suite 201, Post Falls, ID 83854-9811 | 2009-05-19 |
| 1730300518 | Fay Allen Goodall | Physical Therapist | 1224 N. Idaho, Suite A, Post Falls, ID 83854 | 2007-05-01 |
| 1154481455 | At Home Physical Therapy PC | Physical Therapist | 1459 W Yaquina Dr, Post Falls, ID 83854-5190 | 2006-12-10 |
| 1881778413 | Mark B Bengtson | Physical Therapist | 1590 E Polston Ave Ste B, Post Falls, ID 83854-5218 | 2006-10-24 |
| 1356361406 | David B Andrews | Physical Therapist | 1101 E Polston Ave, Suite A, Post Falls, ID 83854-6045 | 2006-07-20 |
| 1851321749 | Brad Edward Sharples-faucher | Physical Therapist | 104 W 9th Ave, Post Falls, ID 83854-9216 | 2006-07-04 |
| 1326523861 | Collin D Zimmerman | Physical Therapist | 1590 E Polston Ave Ste B, Post Falls, ID 83854-5218 | 2018-10-01 |
| 1902381049 | Janelle E Acheson | Physical Therapist | 104 W 9th Ave, Post Falls, ID 83854-9216 | 2018-09-25 |
| 1053892034 | Ryan Neall | Physical Therapist | 927 E Polston Ave, Post Falls, ID 83854-9811 | 2018-08-27 |
| Find all providers in POST FALLS | ||||
| City | POST FALLS |
| Zip Code | 83854 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.