Pinnacle Range of Motion, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PINNACLE RANGE OF MOTION, LLC

Practice address

190 W Burnside Ave
Suite 3
Chubbuck, ID 83202-2411

Phone

(208) 317-8727

NPI assigned

Aug 29, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Steven Boe Simmons, PA-C

Title

Owner

Phone

(208) 241-0876

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391126400000",
    "number": "1104250802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 W BURNSIDE AVE",
            "address_2": "SUITE 3",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832022411",
            "telephone_number": "208-317-8727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 W BURNSIDE AVE",
            "address_2": "SUITE 3",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832022411",
            "telephone_number": "208-317-8727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE RANGE OF MOTION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-29",
        "last_updated": "2014-01-31",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "BOE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-241-0876",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Petersen, RD
• Wiley D Petersen, PA-C
• Maryn Peterson, PARAPROFESSIONAL
• Robin Lee Phillips
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• Melanie Prescott, PHARM.D
• Austin Pugmire
• Jared C Pugmire, PT DPT

• Durable Medical Equipment & Medical Supplies in Chubbuck, ID
• Providers in Chubbuck, ID by specialty
• Durable Medical Equipment & Medical Supplies in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; 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.