Lake City Physical Therapy P A - Medicare Physical Therapist in Coeur D Alene, ID

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Lake City Physical Therapy P A is a medicare enrolled "Physical Therapist" provider in Coeur D Alene, Idaho. Their current practice location is 2065 W Riverstone Dr Ste 101, Coeur D Alene, Idaho. You can reach out to their office (for appointments etc.) via phone at (208) 667-1988.

Lake City Physical Therapy P A is licensed to practice in Idaho (license number RPT629) and it also participates in the medicare program. Lake City Physical Therapy P A is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1952521411.

Contact Information

Lake City Physical Therapy P A
2065 W Riverstone Dr Ste 101,
Coeur D Alene, ID 83814-5699
(208) 667-1988
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameLake City Physical Therapy P A
TypeFacility
SpecialityPhysical Therapist
Location2065 W Riverstone Dr Ste 101, Coeur D Alene, Idaho
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1952521411
  • Provider Enumeration Date: 04/26/2007
  • Last Update Date: 04/14/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 3678465234
  • Enrollment ID: O20040503001343

Medical Identifiers

Medical identifiers for Lake City Physical Therapy P A such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952521411NPI-NPPES
002793000MedicaidID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist RPT629 (Idaho)Primary
225X00000XOccupational Therapist (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Lake City Physical Therapy P A acts as a billing entity for following providers:
Provider NameMary A Rogers
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1588689160
PECOS PAC ID: 5395710883
Enrollment ID: I20040828000053
Provider NameLeola E Hall
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1316008220
PECOS PAC ID: 1254419369
Enrollment ID: I20080415000294
Provider NameLinsey A T Cahan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1578875076
PECOS PAC ID: 7113050006
Enrollment ID: I20100728001288
Provider NameSheree L Dibiase
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1396813309
PECOS PAC ID: 9032001698
Enrollment ID: I20110323000170
Provider NameGabrielle A Buch
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1942633953
PECOS PAC ID: 7113151226
Enrollment ID: I20200901001448
Provider NameHolly Lang
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1801455092
PECOS PAC ID: 1658709621
Enrollment ID: I20201207002115
Provider NameKinzie Marie Munar
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1639528185
PECOS PAC ID: 9133408461
Enrollment ID: I20201211002251
Provider NameKeldyn Lang
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1396297727
PECOS PAC ID: 1759663503
Enrollment ID: I20201221002094
Provider NameRachel Kebbel
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1992397087
PECOS PAC ID: 9537574751
Enrollment ID: I20210222002686
Provider NameDora Kaylynn Monson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1477904266
PECOS PAC ID: 4587950720
Enrollment ID: I20210526002679
Provider NameMelina Nicole Harrington
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1639756620
PECOS PAC ID: 5092119859
Enrollment ID: I20210802002583
Provider NameSavanna Lynn Edson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1447925680
PECOS PAC ID: 6305242181
Enrollment ID: I20210901004118
Provider NameMckenna Briane Young
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1548878341
PECOS PAC ID: 3375921174
Enrollment ID: I20220607002831
Provider NameMeggi Grace Serrette
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1548740624
PECOS PAC ID: 9436402781
Enrollment ID: I20221222000834
Provider NameIsabel Grace Schmelzer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1851002653
PECOS PAC ID: 8426429002
Enrollment ID: I20230118000786
Provider NameAutumn Grove
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1033596747
PECOS PAC ID: 9032569033
Enrollment ID: I20240102003960

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lake City Physical Therapy P A is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lake City Physical Therapy P A
Po Box 1180,
Hayden, ID 83835-1180

Ph: (208) 966-4176		Lake City Physical Therapy P A
2065 W Riverstone Dr Ste 101,
Coeur D Alene, ID 83814-5699

Ph: (208) 667-1988

Reviews and Comments


Physical Therapist in Coeur D Alene, ID

Gracee Elizabeth Lassen, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 411 W Haycraft Ave Ste D1, Coeur D Alene, ID 83815
Phone: 208-664-2468    
Mrs. Holly D Bruns, M.P.T.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 500 W Aqua Ave, Coeur D Alene, ID 83815
Phone: 208-762-1122    
Dr. Sharron Elizabeth Mcmillan, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 411 W Haycraft Ave Ste D4, Coeur D Alene, ID 83815
Phone: 208-664-2468    
Jonathan Hoelzen, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1088 W Prairie Ave, Coeur D Alene, ID 83815
Phone: 208-772-6609    
Competitive Fitness, Llc
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1321 W Northwood Center Ct, Suite B, Coeur D Alene, ID 83814
Phone: 208-665-7055    Fax: 208-665-7093
Pure Inc
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 3655 N Government Way, Suite 3, Coeur D Alene, ID 83815
Phone: 208-691-8888    
Debora Caires Nelson, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 2200 Ironwood Pl, Coeur D Alene, ID 83814
Phone: 208-667-6486    Fax: 208-676-8276

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.