Altitude Physical Therapy, Inc.

LBN: Altitude Physical Therapy, Inc.
Altitude Physical Therapy, Inc. is an health care organization with primary practice located at 1906 Fairview Ave Ste 410 , Caldwell ID 83605-5424. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Altitude Physical Therapy, Inc. can be contacted via phone (208) 454-9839, or through Weatherston, Sean R via phone (208) 454-9839.

Contact Information

Primary practice address
1906 Fairview Ave Ste 410 Caldwell ID 83605-5424
Phone: (208) 454-9839
Fax: (208) 454-0727
Website:
Map and Directions
Authorized official contact:
Name: Weatherston, Sean R Physical Therapist (PT)
Phone: (208) 454-9839

Health care specialties

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

Profile Details

NPI number 1619045309
LBN Legal business name Altitude Physical Therapy, Inc.
DBA Doing business as
Authorized official Weatherston, Sean R Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 1st, 2006
Last updated Mar 3rd, 2020 - about 5 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 1619045309 NPPES
Idaho MEDICAID 807229400

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