Hands on Diagnostics of Idaho, PLLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

HANDS ON DIAGNOSTICS OF IDAHO, PLLC

Practice address

1800 Flandro Dr Ste 190
Pocatello, ID 83202-4940

Phone

(208) 233-2248

NPI assigned

Dec 21, 2017

Organization subpart

Yes

Parent organization

MCDONALD REHAB, PCAs reported in NPPES

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

Authorized official

Name

Bart W McDonald, MPTNPI 1043332901

Title

Owner

Phone

(208) 233-2248

Specialties & licenses 2

Addresses

Other names 1

• Superior Physical Therapy Doing business as

Part of

McDonald Rehab PC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• McDonald Rehab, PC

  • Physical Therapist
  • Pocatello, ID
  • NPI 1497948509
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bart William McDonald, MPT

  • Physical Therapist
  • Pocatello, ID
  • NPI 1043332901
  NPD Authorized official

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

{
    "created_epoch": "1513814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1013423482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 REDMAN ST",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832022673",
            "telephone_number": "208-233-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 FLANDRO DR STE 190",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832024940",
            "telephone_number": "208-233-2248"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "128 Vista Dr",
            "address_purpose": "LOCATION",
            "city": "Pocatello",
            "state": "ID",
            "postal_code": "83201",
            "country_code": "US",
            "telephone_number": "208-233-2248",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3345 Potomac Way",
            "address_purpose": "LOCATION",
            "city": "Idaho Falls",
            "state": "ID",
            "postal_code": "834044978",
            "country_code": "US",
            "telephone_number": "208-417-0090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HANDS ON DIAGNOSTICS OF IDAHO, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCDONALD REHAB, PC",
        "enumeration_date": "2017-12-21",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "BART",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-233-2248",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Superior Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Justin Paul Hammer
• Nathan Hammer, MRO-2433
• Jordan T Hammon, DO
• Nicolette Hampton, NP-C
• Hand and Upper Extremity Center, Inc
• Brooks Bastian Hanks, LPC, MCOUN.
• Brian Hansen, DO
• Jessica Hansen
• Kyley Korynn Hansen
• Rebecca Hansen, CCC-SLP

• Multi-Specialty Clinic/Center in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Multi-Specialty Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.