DR. LUKE JACK HAXTON (NPI# 1972135010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972135010 |
| Entity Type | Individual |
| Full Name | DR. LUKE JACK HAXTON |
| Credential | PT, DPT |
| Practice Address |
1233 N Northwood Center Ct Ste 101 Coeur D Alene ID 83814-6190 |
| Practice Telephone | 2082152450 |
| Practice Fax Number | 2087731473 |
| Mailing Telephone | 2082152450 |
| Mailing Fax Number | 2087731473 |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2020-02-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT-6475 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251S0007X |
Physical Therapist Specialization: Sports |
PT-6475 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT-6475 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 1972135010 | 05 |
| Street Address |
1233 N NORTHWOOD CENTER CT STE 101 |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83814-6190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316945876 | Jeffrey Robert Rees Lyman | Orthopaedic Surgery | 1233 N Northwood Center Ct Ste 101, Coeur D Alene, ID 83814-6190 | 2005-07-08 |
| 1801419544 | Shelby Lynn Fruechte | Physical Therapist | 1233 N Northwood Center Ct Ste 101, Coeur D Alene, ID 83814-6190 | 2020-05-27 |
| 1063896546 | Adam J Olscamp Md PC | Physical Therapist | 1233 N Northwood Center Ct Ste 101, Coeur D Alene, ID 83814-6190 | 2015-07-15 |
| 1497172431 | Christopher Bryce Arena | Orthopaedic Surgery | 1233 N Northwood Center Ct Ste 101, Coeur D Alene, ID 83814-6190 | 2014-03-27 |
| 1104100676 | Kira Beth Sandon | Physician Assistant | 1233 N Northwood Center Ct Ste 101, Coeur D Alene, ID 83814-6190 | 2011-10-03 |
| 1053633297 | Ryan Lee Smith | Physician Assistant | 1233 N Northwood Center Ct Ste 101, Coeur D Alene, ID 83814-6190 | 2010-02-15 |
| 1871728493 | Richard Lee Stowell | Orthopaedic Surgery | 1233 N Northwood Center Ct Ste 101, Coeur D Alene, ID 83814 | 2009-05-27 |
| 1295821247 | John Patrick Sayler | Physical Therapist | 1233 N Northwood Center Ct Ste 101, Coeur D Alene, ID 83814-6190 | 2006-10-05 |
| 1619080439 | Adam James Olscamp | Orthopaedic Surgery | 1233 N Northwood Center Ct Ste 101, Coeur D Alene, ID 83814-6190 | 2006-08-16 |
| 1639104524 | Friedrich J. Weber Jr. | Physical Therapist | 1233 N Northwood Center Ct Ste 101, Coeur D Alene, ID 83814-6190 | 2006-07-11 |
| Find all providers in the same location | ||||
| 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 |
| 1992208631 | Orthopedic Surgery and Sports | Orthopaedic Surgery | 1812 N Lakewood Drive, Suite 100, Coeur D'alene, ID 83814 | 2018-03-08 |
| 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 |
| Find all providers in zip 83814 | ||||
| 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 |
|---|---|---|---|---|
| 1437781622 | Amanda Lynn Dickinson | Physical Therapist | 411 W Haycraft Ave # Stdd1, Coeur D Alene, ID 83815-8105 | 2020-02-06 |
| 1730740465 | Connor Williams | Physical Therapist | 1812 W Lakewood Dr, Ste. 100, Coeur D Alene, ID 83814 | 2019-06-24 |
| 1467920033 | Christopher Taylor | Physical Therapist | 5925 W Riverview Dr, Coeur D Alene, ID 83814-7705 | 2018-11-12 |
| 1689142192 | Canfield Pt Pllc | Physical Therapist | 402 W Canfield Ave Ste 5, Coeur D Alene, ID 83815-7784 | 2018-11-02 |
| 1265941108 | Inspire Physical Therapy Idaho Inc Ps | Physical Therapist | 1321 N Northwood Center Ct Ste B, Coeur D Alene, ID 83814-4944 | 2017-09-22 |
| 1306283049 | Tonya Carlson | Physical Therapist | 7841 N Holyoke Loop, Coeur D Alene, ID 83815-4980 | 2013-06-03 |
| 1932415254 | Wendy E Johnson | Physical Therapist | 2170 W Ironwood Center Dr Ste B, Coeur D Alene, ID 83814-2606 | 2010-08-24 |
| 1578875076 | Linsey Anne Cahan | Physical Therapist | 411 W Haycraft Ave Ste B3, Coeur D Alene, ID 83815-8104 | 2010-07-13 |
| 1295047793 | Craig Cahan | Physical Therapist | 411 W Haycraft Ave Ste D4, Coeur D Alene, ID 83815-8104 | 2010-07-13 |
| 1861649741 | Ryan Jacob Bishop | Physical Therapist | 852 W Kathleen Ave, Coeur D Alene, ID 83815-9405 | 2008-08-22 |
| Find all providers in COEUR D ALENE | ||||
| City | COEUR D ALENE |
| Zip Code | 83814 |
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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.