Rexburg Rehabilitation
LBN: Pmd Therapies, Pllc
Rexburg Rehabilitation is an health care organization with primary practice located at 36 Winn Drive Suite 100, Rexburg ID 83440. The organization recently has 4 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty.
Pmd Therapies, Pllc can be contacted via phone (208) 356-0174, or through Dye, Paul M via phone (208) 356-0174.
Contact Information
Primary practice address
36 Winn Drive Suite 100
Rexburg ID 83440
Phone: (208) 356-0174
Fax: (208) 356-0176
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | PT-1920 | Idaho |
| Other Service Providers / Specialist | 174400000X | OT-711 | Idaho |
| Other Service Providers / Specialist | 174400000X | AT-142 | Idaho |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT-1920 | Idaho |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | AT-142 | Idaho |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT-711 | Idaho |
Profile Details
| NPI number | 1194732214 |
|---|---|
| LBN Legal business name | Pmd Therapies, Pllc |
| DBA Doing business as | Rexburg Rehabilitation |
| Authorized official | Dye, Paul M MPT., MOTR/L., ATC |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 2nd, 2006 |
| Last updated | Oct 1st, 2010 - about 16 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 | 1194732214 | NPPES |
| Idaho | Other | 887408 | DMBA |
| Idaho | Other | TC134 | DMBA |
| Idaho | Other | TC142 | DMBA |
| Idaho | MEDICAID | 807252700 | DMBA |
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