Advanced PT LLC
Organization Active NPI Physical Therapist · Meridian, ID
NPI 1104991702 · NPPES record last updated Feb 19, 2008
Key facts
- NPI
- 1104991702
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- ADVANCED PT LLC
- Practice address
- 1640 W Cherry LN
Ste 120
Meridian, ID 83642-8187 - Phone
- (208) 855-2099
- Fax
- (208) 855-2155
- NPI assigned
- Nov 21, 2006
- Organization subpart
- No
Authorized official
- Name
- David C Todd, PT
- Title
- Owner
- Phone
- (316) 260-6869
Member of 1
National Provider Directory
Locations
1640 W Cherry Ln
Ste 120
Meridian, ID 83642
Phone (208) 855-2099
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
1640 W Cherry LN
Ste 120
Meridian, ID 83642-8187
Mailing address
200 W Douglas Ave
Ste 1040
Wichita, KS 67202-3017
Phone (316) 263-0003
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DG5887 | Other | ID | RETIRED RAILROAD MEDICARE |
Other names
- Preferred PT Cherry Lane
Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.