Teton Physical Therapy, Inc
LBN: Teton Physical Therapy, Inc
Teton Physical Therapy, Inc is an health care organization with primary practice located at 2037 E 17Th St , Idaho Falls ID 83404-6430. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as the primary health care specialty.
Teton Physical Therapy, Inc can be contacted via phone (208) 529-3355, or through Griffeth, Russell G via phone (208) 529-3355.
Contact Information
Primary practice address
2037 E 17Th St
Idaho Falls ID 83404-6430
Phone: (208) 529-3355
Fax: (208) 529-9581
Website:
Authorized official contact:
Name: Griffeth, Russell G Master of Physical Therapy (MPT)
Phone: (208) 529-3355
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | PT623 | Idaho |
Profile Details
| NPI number | 1053633313 |
|---|---|
| LBN Legal business name | Teton Physical Therapy, Inc |
| DBA Doing business as | |
| Authorized official | Griffeth, Russell G Master of Physical Therapy (MPT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 26th, 2010 |
| Last updated | Jul 21st, 2014 - about 10 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 | 1053633313 | NPPES |
| Idaho | MEDICAID | 002714400 |
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