NPIMap

Primary Therapy Source, LLC

A Medicare group practice based in Twin Falls, ID: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 7012002702), with 23 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7012002702The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Independently-Practicing Physical Therapist, Part B Supplier - Clinic/Group Practice
Enrolled in
ID
Enrollments
2
Group size
6 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 3 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20070926000529 ID Part B Supplier - Clinic/Group Practice 1912027343
O20240206001635 ID DME Supplier - Independently-Practicing Physical Therapist 1104672682

NPIs in this group 2

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 23

Clinicians who reassign their Medicare benefits to this group (23) or whom Care Compare lists as members (6).

Sources for this page