NPIMap

Organization Active NPI

Cottonwood Physical Therapy, PLLC

  • Physical Therapist
  • Cottonwood, ID
National Provider Identifier
1124866652
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
COTTONWOOD PHYSICAL THERAPY, PLLC
Practice address
405 Main St Ste C
Cottonwood, ID 83522-5299
Phone
(208) 507-2359
NPI assigned
Jul 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Authorized official

Name
Joseph Smith, DPTNPI 1588322309
Title
Owner/Physical Therapist
Phone
(208) 507-2359

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

405 Main St Ste C
Cottonwood, ID 83522-5299

Mailing address

1000 Greencreek Rd
Cottonwood, ID 83522-5038
Phone (208) 507-2359

National Provider Directory

National Provider Directory

Locations

405 Main St
Ste C
Cottonwood, ID 83522
Phone (208) 507-2359

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1124866652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 GREENCREEK RD",
            "city": "COTTONWOOD",
            "state": "ID",
            "postal_code": "835225038",
            "telephone_number": "208-507-2359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 MAIN ST STE C",
            "city": "COTTONWOOD",
            "state": "ID",
            "postal_code": "835225299",
            "telephone_number": "208-507-2359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTONWOOD PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "208-507-2359",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottonwood, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.