Elements of Wellness Aquatic and Manual Therapy Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

OT-406 Issued in ID

Legal business name

ELEMENTS OF WELLNESS AQUATIC AND MANUAL THERAPY INC.

Practice address

872 Troy Rd
Suite 170
Moscow, ID 83843-4046

Phone

(208) 892-8888

Fax

(208) 882-8890

NPI assigned

Jan 3, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Dayna Kathleen Willbanks, OTR/L

Title

Occupational Therapist Owner

Phone

(208) 892-8888

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Nancy Jane Akin, O.T.R./L

  • Occupational Therapist
  • Moscow, ID
  • NPI 1386970036
  NPD (past)
• Claire Jennifer Simon, PT

  • Physical Therapist
  • Moscow, ID
  • NPI 1417267352
  NPD (past)

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199318400000",
    "number": "1073798476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "872 TROY RD",
            "address_2": "SUITE 170",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838434046",
            "telephone_number": "208-892-8888",
            "fax_number": "208-882-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "872 TROY RD",
            "address_2": "SUITE 170",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838434046",
            "telephone_number": "208-892-8888",
            "fax_number": "208-882-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEMENTS OF WELLNESS AQUATIC AND MANUAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2008-01-03",
        "status": "A",
        "authorized_official_last_name": "WILLBANKS",
        "authorized_official_first_name": "DAYNA",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST  OWNER",
        "authorized_official_telephone_number": "208-892-8888",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "ID",
            "license": "OT-406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary J Eagle, PT
• Dean Easton, M.D.
• Laurie Susanne Edinger, FNP
• Educational and Psychological Services, a P.L.L.C.
• Jadelyn Taylor Eisele
• Robert L Ellison, CRNA
• Nancy Jo Elsbury, M.D.
• Clint Emmett, APRN
• Rachel Ensley, PA-C
• Inga Erickson, MS, LAT, ATC

• Specialist in Moscow, ID
• Providers in Moscow, ID by specialty
• Specialist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; 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.