Mountain Integrated Therapy PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-480 Issued in ID

Legal business name

MOUNTAIN INTEGRATED THERAPY PLLC

Practice address

8 S State St
Preston, ID 83263-1243

Phone

(208) 604-1375

NPI assigned

Jan 23, 2012

Last updated

Jan 23, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Douglas Cox

Title

Owner

Phone

(208) 604-1375

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1327276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327276800000",
    "number": "1003187063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 S STATE ST",
            "city": "PRESTON",
            "state": "ID",
            "postal_code": "832631243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 S STATE ST",
            "city": "PRESTON",
            "state": "ID",
            "postal_code": "832631243",
            "telephone_number": "208-604-1375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN INTEGRATED THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-23",
        "last_updated": "2012-01-23",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-604-1375"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Preston, ID
• Providers in Preston, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.