Active NPI
Grit Mobility Concepts, LLC
- Physical Therapy Clinic/Center
- Eagle, ID
National Provider Identifier
1063017499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3656 | Other | ID | PT LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://pteverywhere.com/PtE/s/gritmobility | Direct |
National Provider Directory
National Provider DirectoryNPI 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.