Patricia Hyatt PT LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT-2010 Issued in ID

Legal business name

PATRICIA HYATT PT LLC

Practice address

1050 Clinic Rd N
Challis, ID 83226-9376

Phone

(208) 879-6671

Fax

(208) 879-6680

NPI assigned

Aug 8, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Patricia Hyatt, P.T.

Title

Manager

Phone

(208) 879-6671

Specialties & licenses 1

Addresses

Other names 1

• Garden Creek Physical Therapy Doing business as

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023028818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1395",
            "city": "CHALLIS",
            "state": "ID",
            "postal_code": "832261395",
            "telephone_number": "208-879-6671",
            "fax_number": "208-879-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 CLINIC RD N",
            "city": "CHALLIS",
            "state": "ID",
            "postal_code": "832269376",
            "telephone_number": "208-879-6671",
            "fax_number": "208-879-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA HYATT PT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HYATT",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "208-879-6671",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "ID",
            "license": "PT-2010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Garden Creek Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jenna L Jensen, FNP-C
• Thomas V McGowan, DMD
• Gay M Miremont, LCSW
• Grace Suyanti Muliawan, PA-C
• North Custer Hospital District
• Petrie Family Enterprises, PC
• Breeann Marie Petrie, PA-C
• Joseph W Petrie, PA
• Rainbow'S End Recovery Center LLC
• Cynthia Lee Rathmann, DC

• All providers in Challis, ID
• Physical Therapy Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.