NPI age
19 years
Enumerated 2007-04-26
● Active Type 2 · Organization
Lake City Physical Therapy P A
Lake City Physical Therapy P A is 1 of 2006 physical therapist organizations in Idaho.
Primary specialty
Physical Therapist
Plus 1 secondary
Practice locations
5
4 secondary on file
Status
Active
No deactivations on record
Authorized official
Dibiase
Owner
Last NPPES update
2026-04-14
Source: monthly bulk 2026-05
How this organization compares
Across 2006 active physical therapist providers in Idaho.
NPI age
19 years
↑ 8 yr above median
Practice locations
5
4 secondary on file
Subspecialties
1
In the 16% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-04Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
2065 W Riverstone Dr Ste 101
Coeur D Alene, ID 838145699
Mailing address
Po Box 1180
Hayden, ID 838351180
Additional practice locations
4 secondary locations on file with NPPES.
Location 2
609 N Calgary Ct Ste 2
Post Falls, ID 838544906
Location 3
8238 N Government Way
Hayden, ID 838355034
Location 4
8950 W Emerald St Ste 150
Boise, ID 837048296
Location 5
6600 W Commercial Park Ave
Rathdrum, ID 838586427
Authorized official
Sheree Lynn Dibiase
Owner
📞 2086671988
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...
-
Occupational TherapistAn occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 002793000 |
Practice context
Multi-site organization. 4 additional practice locations on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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