Active NPI
Pursuit Physical Therapy LLC
- Physical Therapy Clinic/Center
- Meridian, ID
National Provider Identifier
1083439723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- PURSUIT PHYSICAL THERAPY LLC
- Practice address
- 2056 S Eagle Rd
Meridian, ID 83642 - Phone
- (208) 495-5202
- NPI assigned
- Nov 18, 2024
- 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
- Zach Heyrend
- Title
- Administrator
- Phone
- (208) 495-5202
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
2056 S Eagle Rd
Meridian, ID 83642
Mailing address
2056 S Eagle Rd
Meridian, ID 83642
Phone (208) 906-8469
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2056 S Eagle Rd
Meridian, ID 83642
Phone (208) 495-5202
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Meridian, ID
- NPI 1508474859
-
- Physical Therapist
- Meridian, ID
- NPI 1346501962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731888000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744070400000",
"number": "1083439723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2056 S EAGLE RD",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "83642",
"telephone_number": "208-906-8469",
"fax_number": "208-428-1669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2056 S EAGLE RD",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "83642",
"telephone_number": "208-495-5202"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PURSUIT PHYSICAL THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-18",
"last_updated": "2025-04-08",
"certification_date": "2025-04-08",
"status": "A",
"authorized_official_last_name": "HEYREND",
"authorized_official_first_name": "ZACH",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "208-495-5202"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.