Physical Therapy Sports & Rehab
LBN: Physical Therapy Sports & Rehab
Physical Therapy Sports & Rehab is an health care organization with primary practice located at 540 S Garfield Ave , Pocatello ID 83204-3333. 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.
Physical Therapy Sports & Rehab can be contacted via phone (208) 232-2740, or through Martin, Allen B via phone (208) 232-2740.
Contact Information
Primary practice address
540 S Garfield Ave
Pocatello ID 83204-3333
Phone: (208) 232-2740
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | RPT004 | Idaho |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | RPT195 | Idaho |
Profile Details
| NPI number | 1831181106 |
|---|---|
| LBN Legal business name | Physical Therapy Sports & Rehab |
| DBA Doing business as | |
| Authorized official | Martin, Allen B PPT |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 22nd, 2005 |
| Last updated | Aug 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831181106 | NPPES |
| Idaho | MEDICAID | 0026437 |
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