Organization Active NPI

Grit Mobility Concepts, LLC

  • Physical Therapy Clinic/Center
  • Eagle, ID
National Provider Identifier
1063017499
Registry record updated Feb 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
GRIT MOBILITY CONCEPTS, LLC
Practice address
430 E Floating Feather Rd
Eagle, ID 83616-4005
Phone
(208) 918-0830
NPI assigned
Dec 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2021

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

Authorized official

Name
Ann Phillips, PT,DPT,NCS,CBIS
Title
PT/Owner
Phone
(208) 992-7550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

430 E Floating Feather Rd
Eagle, ID 83616-4005

Mailing address

430 E Floating Feather Rd
Eagle, ID 83616-4005
Phone (208) 992-7550

Other identifiers 1

IdentifierTypeStateIssuer
3656OtherIDPT LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://pteverywhere.com/PtE/s/gritmobility Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613779200000",
    "number": "1063017499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 E FLOATING FEATHER RD",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836164005",
            "telephone_number": "208-992-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 E FLOATING FEATHER RD",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836164005",
            "telephone_number": "208-918-0830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRIT MOBILITY CONCEPTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-03",
        "last_updated": "2021-02-20",
        "certification_date": "2021-01-11",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "PT/OWNER",
        "authorized_official_telephone_number": "208-992-7550",
        "authorized_official_credential": "PT,DPT,NCS,CBIS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "3656",
            "state": "ID"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://pteverywhere.com/PtE/s/gritmobility",
            "affiliation": "N",
            "endpointDescription": "secure platform",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "430 E Floating Feather Rd",
            "city": "Eagle",
            "state": "ID",
            "country_code": "US",
            "postal_code": "836164005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Eagle, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2021; 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.