Tri-City Physical Therapy P C
A Medicare group practice based in Fruitland, ID: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 7517933484), with 4 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 7517933484
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- ID
- Enrollments
- 1
- Group size
- 3 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20040902000857 | ID | Part B Supplier - Clinic/Group Practice | 1477573756 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Tri-City Physical Therapy, P.C.
dba Tir-City Physical Therapy
- Specialist
- Fruitland, ID
- NPI 1093864282
Practice locations
- Weiser, ID1
- Fruitland, ID1
Clinicians 4
Clinicians who reassign their Medicare benefits to this group (4) or whom Care Compare lists as members (3).
-
Logan Bake
- Orthopedic Physical Therapist
- Ontario, OR
- NPI 1407265838
-
Craig L Hamann, D.P.T.
- Specialist
- Fruitland, ID
- NPI 1942248596
-
Janeil M Heaton, M.P.T.
- Specialist
- Fruitland, ID
- NPI 1245205665
-
Cody D. Stephens, M.P.T.
- Specialist
- Fruitland, ID
- NPI 1174598593
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.