Allstar Physical Therapy, P.A.

LBN: Allstar Physical Therapy, P.A.
Allstar Physical Therapy, P.A. is an health care organization with primary practice located at 4809 W Fairview Ave , Boise ID 83706-2242. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Allstar Physical Therapy, P.A. can be contacted via phone (208) 321-4535, or through Johnson, Lynn R via phone (208) 571-6739.

Contact Information

Primary practice address
4809 W Fairview Ave Boise ID 83706-2242
Phone: (208) 321-4535
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Lynn R
Phone: (208) 571-6739

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X PT178 Idaho

Profile Details

NPI number 1548321557
LBN Legal business name Allstar Physical Therapy, P.A.
DBA Doing business as
Authorized official Johnson, Lynn R
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2006
Last updated Aug 22nd, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548321557 NPPES
Idaho Other 000010025680 REGENCE BLUE SHIELD
Idaho Other T4884 REGENCE BLUE SHIELD

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