JUSTIN THOMAS KANE (NPI# 1114957073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114957073 |
| Entity Type | Individual |
| Full Name | JUSTIN THOMAS KANE |
| Credential | PT |
| Practice Address |
1172 W Hayden Ave Hayden ID 83835-8700 |
| Mailing Address |
1917 N Lakewood Dr Coeur D Alene ID 83814-2634 |
| Practice Telephone | 2087623332 |
| Practice Fax Number | 2087624268 |
| Mailing Telephone | 2086648194 |
| Mailing Fax Number | 2086671847 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2009-03-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT-700 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | BLUE SHIELD | 0000100007419 | 01 |
| ID | 004401801 | 05 | |
| WA | WASHINGTON LABOR & INDUST | 0100472 | 01 |
| ID | BLUE CROSS | T5501 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245466440 | Justin Michael Kane | Orthopaedic Surgery | 5575 Warren Pkwy Ste 115, Frisco, TX 75034-4063 | 2009-06-03 |
| 1487885745 | Justin Kane | Hospitalist | 6401 France Ave S, Edina, MN 55435-2104 | 2009-08-05 |
| 1881845238 | Justin Thomas Kane | Plastic Surgery | 1200 N State St, Los Angeles, CA 90033-1029 | 2008-10-03 |
| Street Address |
1172 W HAYDEN AVE |
| City | HAYDEN |
| State | ID |
| Zip Code | 83835-8700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497315253 | Bradley Davis Kruger | Physical Therapist | 1172 W Hayden Ave, Hayden, ID 83835-8700 | 2019-06-14 |
| 1093977589 | Adam Michael Borg | Physical Therapist | 1172 W Hayden Ave, Hayden, ID 83835-8700 | 2008-06-26 |
| 1053534461 | Jeremy Albert Dye | Physical Therapist | 1172 W Hayden Ave, Hayden, ID 83835-8700 | 2007-04-11 |
| 1437212172 | Beven Jean Rich | Specialist/Technologist | 1172 W Hayden Ave, Hayden, ID 83835-8700 | 2006-12-17 |
| 1609967090 | Carolyn P Brainard | Massage Therapist | 1172 W Hayden Ave, Hayden, ID 83835-8700 | 2006-09-28 |
| 1659462034 | David M Lemke | Massage Therapist | 1172 W Hayden Ave, Hayden, ID 83835-8700 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881212371 | Ngan T Nguyen | Pharmacist | 161 E. Prairie Shopping Center, Hayden, ID 83835 | 2020-07-10 |
| 1689158461 | Rskiom, Pllc | Electrodiagnostic Medicine | 9323 N Government Way #6, Hayden, ID 83835 | 2018-09-18 |
| 1235616913 | Kimberly Jill Young | Dietitian, Registered | 8500 N. Atlas Rd., Hayden, ID 83835 | 2018-07-25 |
| 1851894380 | Medicine Man North Pharmacy Inc | Pharmacy | 30585 N Roberts Rd, Hayden, ID 83835 | 2018-03-11 |
| 1366997322 | Jennifer Amber Belmont | Social Worker | 8680 N Wayne Dr, Suite A, Hayden, ID 83835 | 2016-08-19 |
| 1548637994 | Dance Dentistry Pllc | Clinic/Center | 1027 W Prairie Ave, Hayden, ID 83835 | 2015-09-01 |
| 1982012498 | Dallin J. Dance | Dentist | 1027 W. Prairie Ave., Hayden, ID 83835 | 2014-07-28 |
| 1669808614 | Integrated Interventions LLC | Clinic/Center | 2482 E. Glacier Rd., Hayden Lake, ID 83835 | 2013-09-23 |
| 1669812301 | Caleb Jerome Foss | Physical Therapist | 8382 N Wayne Dr Ste 100, Hayden, ID 83835 | 2013-06-26 |
| 1437493798 | Joseph Neal Tessendorf | Chiropractor | 1401 Biztown Loop, Hayden, ID 83835 | 2012-11-26 |
| Find all providers in zip 83835 | ||||
| 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 |
|---|---|---|---|---|
| 1669812301 | Caleb Jerome Foss | Physical Therapist | 8382 N Wayne Dr Ste 100, Hayden, ID 83835 | 2013-06-26 |
| 1093152969 | Teri Ann Venera | Physical Therapist | 8382 N Wayne Dr, Hayden, ID 83835-6028 | 2013-05-31 |
| 1104120914 | Zachary Johnson | Physical Therapist | Po Box 34, Hayden, CO 81639 | 2011-01-08 |
| 1033421896 | Laura Handyside Steininger | Physical Therapist | 8382 N Wayne Dr Ste 101, Hayden, ID 83835-6028 | 2010-07-09 |
| 1346474319 | Malea L Sampsel | Physical Therapist | 12775 N Avondale Loop, Hayden, ID 83835-7531 | 2009-05-06 |
| 1346421021 | Tyler J Blackwelder | Physical Therapist | 8827 N Government Way Unit 106, Hayden, ID 83835-8231 | 2007-11-21 |
| 1053368126 | Erica Lea Chvilicek | Physical Therapist | 8257 N Cornerstone Dr, Hayden, ID 83835-8683 | 2006-05-27 |
| 1215576640 | Inland Pelvic Health & Physical Therapy, LLC | Physical Therapist | 8382 N Wayne Dr Ste 101, Hayden, ID 83835-6028 | 2020-01-02 |
| 1497315253 | Bradley Davis Kruger | Physical Therapist | 1172 W Hayden Ave, Hayden, ID 83835-8700 | 2019-06-14 |
| 1316444656 | Marie Klosterman | Physical Therapist | 8382 N Wayne Dr Ste 101, Hayden, ID 83835-6028 | 2018-04-12 |
| Find all providers in HAYDEN | ||||
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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.