Idaho Direct Physical Therapy, Pllc

LBN: Idaho Direct Physical Therapy, Pllc
Idaho Direct Physical Therapy, Pllc is an health care organization with primary practice located at 1559 N Stevens Dr Apt B , Idaho Falls ID 83401-3947. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Idaho Direct Physical Therapy, Pllc can be contacted via phone (815) 545-3996, or through Burke, Tyler J via phone (815) 545-3996.

Contact Information

Primary practice address
1559 N Stevens Dr Apt B Idaho Falls ID 83401-3947
Phone: (815) 545-3996
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Burke, Tyler J DPT
Phone: (815) 545-3996

Health care specialties

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

Profile Details

NPI number 1518560671
LBN Legal business name Idaho Direct Physical Therapy, Pllc
DBA Doing business as
Authorized official Burke, Tyler J DPT
Entity Organization
Organization subpart 1 No
Enumeration date Nov 19th, 2020
Last updated Nov 19th, 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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