Journey Pediatric Therapy
LBN: Journey Pediatric Therapy
Journey Pediatric Therapy is an health care organization with primary practice located at 1009 Highway 2 Ste C , Sandpoint ID 83864-2713. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Ambulatory Health Care Facilities / Rehabilitation. Ambulatory Health Care Facilities / Rehabilitation is the primary health care specialty.
Journey Pediatric Therapy can be contacted via phone (208) 627-8615, or through Black, Maresa via phone (208) 627-8615.
Contact Information
Primary practice address
1009 Highway 2 Ste C
Sandpoint ID 83864-2713
Phone: (208) 627-8615
Fax: (208) 441-2641
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | ||
| Ambulatory Health Care Facilities / Rehabilitation | 261QR0400X | OT-1405 | Idaho |
Profile Details
| NPI number | 1023487105 |
|---|---|
| LBN Legal business name | Journey Pediatric Therapy |
| DBA Doing business as | |
| Authorized official | Black, Maresa OTR/L |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 18th, 2015 |
| Last updated | Jun 1st, 2022 - about 2 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 | 1023487105 | NPPES |
| Idaho | MEDICAID | 1023487105 | |
| Idaho | MEDICAID | 1750758702 |
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