MEDICARE: JAMES TANGREDI PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	4371094	ID

General Provider Information

NPI Number	:	1669881892
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES TANGREDI PT

Provider Business Mailing Address
First Line	:	1917 N LAKEWOOD DR
Second Line	:
City	:	COEUR D ALENE
State	:	ID
Zip	:	83814-2634
Country	:	US
Telephone Number	:	208-262-4161
Fax Number	:

Provider Business Practice Location Address
First Line	:	1610 E SCHNEIDMILLER AVE
Second Line	:
City	:	POST FALLS
State	:	ID
Zip	:	83854-7065
Country	:	US
Telephone Number	:	208-773-8111
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/13/2014
Last Update Date	:	04/13/2026

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