Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Sky R Pruitt, PT

Individual provider Physical Therapist · NPI 1164749974

Mr. Sky R Pruitt, PT is a Physical Therapist in Private Practice in Coeur D Alene, Idaho. Qualified in 2010, 16 years ago. Practices with Lakeland Physical Therapy and Sports Injuries PA, a 4-clinician group and accepts Medicare assignment. Licensed in Idaho and Montana.

Years since qualifying
16
Licensed in
ID, MT
In the registry since
2010
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1917 N Lakewood Dr North Idaho Physical Therapy
Coeur D Alene, ID 83814-2634
Phone: (208) 664-8194
Fax: (208) 667-1847
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT-3182 (ID)
Physical Therapist Taxonomy 225100000X · Licence 2312 (MT)

Record details

NPI number1164749974
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedMay 3, 2010
Last updated in NPPESMarch 14, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Lakeland Physical Therapy And Sports Injuries P.A. — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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