ORTHOPEDIC SURGERY AND SPORTS (NPI# 1992208631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992208631 |
| Entity Type | Organization |
| Organization Name | ORTHOPEDIC SURGERY AND SPORTS |
| Other Organization Name | ORTHOPEDIC PHYSICAL THERAPY INSTITUTE |
| Practice Address |
1812 N Lakewood Drive Suite 100 Coeur D'alene ID 83814 |
| Mailing Address |
850 W Ironwood Dr Ste 202 Coeur D Alene ID 83814-4903 |
| Practice Telephone | 2087702971 |
| Practice Fax Number | 2087702974 |
| Mailing Telephone | 2086642175 |
| Mailing Fax Number | 2086641226 |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2018-07-24 |
| Authorized Official Name | LORI ANN SAUVE (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 2086642175 |
| Is Organization Subpart | Y |
| Parent Organization Name | ORTHOPEDIC SURGERY AND SPORTS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 225200000X | Physical Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225XH1200X |
Occupational Therapist Specialization: Hand |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Orthopedic Physical Therapy Institute | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1160 E Polston Ave Ste B, Post Falls, ID 838546045 | 2082620156 | 2082620160 |
| 850 W Ironwood Dr Ste 202, Coeur D Alene, ID 838144903 | 2086642175 | 2086641226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588966147 | Orthopedic Surgery and Sports | Clinic/Center | 850 W Ironwood Dr Ste B101, Coeur D Alene, ID 83814-4903 | 2010-12-02 |
| 1700389061 | Orthopedic Surgery and Sports | Orthopaedic Surgery | 1160 E Polston Ave Ste B, Post Falls, ID 83854-6045 | 2018-03-13 |
| 1083729438 | Orthopedic Surgery and Sports | Specialist | 850 W Ironwood Dr, Suite 202, Coeur D Alene, ID 83814-4903 | 2006-08-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | ORTHOPEDIC SURGERY AND SPORTS MEDICINE OF NEW YORK, PLLC | 90 State Street, Suite 700, Box 10, Albany, Ny 12207 |
| Colorado Business Entities | ORTHOPEDIC SURGERY AND SPORTS MEDICINE SPECIALISTS, P.C. | 9005 Grant St, Suite 200, Thornton, CO 80229 |
| Street Address |
1812 N LAKEWOOD DRIVE SUITE 100 |
| City | COEUR D'ALENE |
| State | ID |
| Zip Code | 83814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162675 | Dehra Mcfaddan | Social Worker | 211 E. Coeur D'alene Ave, 102, Coeur D Alene, ID 83814 | 2020-07-24 |
| 1043838634 | Yendi Labelle | Nurse Practitioner | 1115 N Ironwood Drive, Coeur D'alene, ID 83814 | 2020-07-09 |
| 1295353217 | Cultivation, LLC | Counselor | 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 | 2020-07-07 |
| 1306487517 | Northwest Integrated Health, LLP | Clinic/Center | 1250 West N. Northwood Center Ct, Suite B, Coeur D'alene, ID 83814 | 2019-09-30 |
| 1730740465 | Connor Williams | Physical Therapist | 1812 W Lakewood Dr, Ste. 100, Coeur D Alene, ID 83814 | 2019-06-24 |
| 1912480153 | Nadine M Lewis | Social Worker | 211 E. Coeur D'alene Ave., Coeur D'alene, ID 83814 | 2018-09-13 |
| 1346758042 | Heather Marie Johnson | Counselor | 7905 Meadowlark Way, Cda, ID 83814 | 2018-01-16 |
| 1881113413 | Brevity Treatment Services | Counselor | 2201 N. Government Way Ste. L, Coeur D'alene, ID 83814 | 2017-09-14 |
| 1366969628 | Jennifer La Gina Highfield | Massage Therapist | 1104 N Ste B, Coeur D Alene, ID 83814 | 2017-08-28 |
| 1649709221 | Dustin Meyer | Chiropractor | 311 East Coeur D'alene Ave Suite B, Coeur D' Alene, ID 83814 | 2017-06-07 |
| Find all providers in zip 83814 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548878341 | Mckenna Briane Young | Physical Therapist | 910 Nw 16th St Ste 200, Fruitland, ID 83619-2265 | 2020-07-17 |
| 1235750746 | Sol Physiotherapy LLC | Physical Therapist | 804 N Whitley Dr, Fruitland, ID 83619-2437 | 2020-05-06 |
| 1205307485 | Scoliosis Treatment Center of Idaho | Physical Therapist | 2157 S Pebblecreek Ln, Boise, ID 83706-6123 | 2018-12-16 |
| 1972027431 | Robert Bernard Wendt | Physical Therapist | 904 White Ave, Moscow, ID 83843-3932 | 2017-07-26 |
| 1588924724 | Kevin Cherry | Physical Therapist | 243 Idaho St., Suite A, Gooding, ID 83330-1258 | 2012-05-22 |
| 1811107394 | Kathleen Alexander | Physical Therapist | Mail Stop 8045, Pocatello, ID 83209-8045 | 2007-05-23 |
| 1912116682 | Rulin J Hawks | Physical Therapist | 1902 S 10th Ave, Caldwell, ID 83605-4841 | 2007-05-21 |
| 1013137850 | Mark Morgan | Physical Therapist | 221 S River St, Hailey, ID 83333-8436 | 2007-04-26 |
| 1437210853 | Judith Lee Grucella | Physical Therapist | 4477 Emerald St Ste C125, Boise, ID 83706-2058 | 2006-12-12 |
| 1598862757 | David Marshal Saelens | Physical Therapist | 3322 N Grand Mill Ln, Coeur D Alene, ID 83814-5689 | 2006-09-20 |
| Find all providers with the same taxonomy | ||||
| City | COEUR D'ALENE |
| Zip Code | 83814 |
Please comment or provide details below to improve the information on ORTHOPEDIC SURGERY AND SPORTS.
| 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.