NPI age
6 years
Enumerated 2019-12-02
● Active
Type 1 · Individual
Kelly John
John is 1 of 31 physical therapist providers in Hayden and 1 of 2006 in Idaho.
Primary specialty
Physical Therapist
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2025-12-12
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 2006 active physical therapist providers in Idaho.
NPI age
6 years
↓ 5 yr below median (11 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
16% of peers hold subspecialties
NPI lifetime · 2019 → 2026
2019-12Enumerated in NPPES
2019
2026
Where they practice
Practice location
8468 N Wayne Dr
Hayden, ID 838356025
Mailing address
850 W Ironwood Dr Ste 202
Coeur D Alene, ID 838144903
Additional practice locations
1 secondary location on file with NPPES.
Location 2
1812 N Lakewood Dr Ste 100
Coeur D Alene, ID 838142635
Specialties
-
Physical Therapist PrimaryPhysical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | PT7061 | STATE LICENSE |
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.