Active NPI
Therapy Connection
- Physical Therapist
- Fruitland, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-178
- Legal business name
- THERAPY CONNECTION
- Practice address
- 1611 N Whitley Dr
Unit 1a
Fruitland, ID 83619-2177 - Phone
- (208) 452-0021
- Fax
- (208) 452-0019
- NPI assigned
- Feb 20, 2013
- Last updated
- Jun 10, 2013
- Organization subpart
- Yes
- Parent organization
- REHABAUTHORITY LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lynn R Johnson, PT, LAT
- Title
- President
- Phone
- (208) 337-5346
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-178 | ID | Primary |
Addresses
Primary practice location
1611 N Whitley Dr
Unit 1a
Fruitland, ID 83619-2177
Mailing address
1560 S Carol St
Meridian, ID 83646-1839
Phone (208) 288-1155
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
1611 N Whitley Dr
Ste 1A
Fruitland, ID 83619
Phone (208) 452-0021
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Physical Therapist
- Fruitland, ID
- NPI 1437150059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1370822400000",
"number": "1073853529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1560 S CAROL ST",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836461839",
"telephone_number": "208-288-1155",
"fax_number": "208-288-0424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 N WHITLEY DR",
"address_2": "UNIT 1A",
"city": "FRUITLAND",
"state": "ID",
"postal_code": "836192177",
"telephone_number": "208-452-0021",
"fax_number": "208-452-0019"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THERAPY CONNECTION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "REHABAUTHORITY LLC",
"enumeration_date": "2013-02-20",
"last_updated": "2013-06-10",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "LYNN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "208-337-5346",
"authorized_official_credential": "PT, LAT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "PT-178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fruitland, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.