Tahi Physical Therapy PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-3752 Issued in ID

Legal business name

TAHI PHYSICAL THERAPY PLLC

Practice address

3345 Merlin Dr Ste 100
Idaho Falls, ID 83404-7405

Phone

(208) 522-4481

Fax

(208) 522-6136

NPI assigned

Dec 1, 2014

Last updated

Dec 1, 2014By 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

Jeremy Tahi Brown, PT, MPT, OCSNPI 1821397332

Title

Owner

Phone

(208) 522-4481

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeremy Brown, MPT

  • Orthopedic Physical Therapist
  • Brea, CA
  • NPI 1821397332

  ID

  Medicare reassignment Care Compare group Authorized official
• Adam D Cook, DPT

  • Physical Therapist
  • Idaho Falls, ID
  • NPI 1316402159
  Medicare reassignment Care Compare group
• Bryant Belnap, PT

  • Physical Therapist
  • Idaho Falls, ID
  • NPI 1619917200
  NPD (past)

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417392000000",
    "number": "1023415445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3345 MERLIN DR STE 100",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047405",
            "telephone_number": "208-522-4481",
            "fax_number": "208-522-6136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3345 MERLIN DR STE 100",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047405",
            "telephone_number": "208-522-4481",
            "fax_number": "208-522-6136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAHI PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-01",
        "last_updated": "2014-12-01",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "TAHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-522-4481",
        "authorized_official_credential": "PT, MPT, OCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-3752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Dawn Swope, FNP-C
• Wendy Swope, ACNPC
• Heather Szilard, HIS
• T and H Enterprises, DMD (Taylorview Dental)
• Laura A Tabor, P.A.
• Deeann Briggs Tak, BSN-RN, CDCES
• Takoma Lindsay Counseling, LLC (True Connection: Couple and Family Counseling of Idaho)
• Brett Scott Talbot, M.D.
• Bradford L Talcott, M.D.
• Tall Family Physical Therapy PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.