Advanced Performance Physical Therapy Pllc
LBN: Advanced Performance Physical Therapy Pllc
Advanced Performance Physical Therapy Pllc is an health care organization with primary practice located at 333 N 18Th Ave Ste D-2, Pocatello ID 83201-3358. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty.
Advanced Performance Physical Therapy Pllc can be contacted via phone (208) 232-6490, or through Marshall, Robert Lance via phone (208) 232-6490.
Contact Information
Primary practice address
333 N 18Th Ave Ste D-2
Pocatello ID 83201-3358
Phone: (208) 232-6490
Fax: (208) 234-4805
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT1003 | Idaho |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT1535 | Idaho |
Profile Details
| NPI number | 1427072982 |
|---|---|
| LBN Legal business name | Advanced Performance Physical Therapy Pllc |
| DBA Doing business as | |
| Authorized official | Marshall, Robert Lance PT, DPT, MS |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Jan 30th, 2017 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427072982 | NPPES |
| Idaho | MEDICAID | 805858600 |
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