Sawtooth Rehab, PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

PT-2268 Issued in ID

Legal business name

SAWTOOTH REHAB, PLLC

Practice address

3422 S 15TH E
Idaho Falls, ID 83404-8262

Phone

(208) 522-7627

Fax

(208) 524-6300

NPI assigned

Apr 14, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Eric D Roberts, MSPT, CSCS

Title

Owner

Phone

(208) 522-7627

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302739200000",
    "number": "1164712899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3422 S 15TH E",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834048262",
            "telephone_number": "208-522-7627",
            "fax_number": "208-524-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3422 S 15TH E",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834048262",
            "telephone_number": "208-522-7627",
            "fax_number": "208-524-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAWTOOTH REHAB, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-14",
        "last_updated": "2011-04-14",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-522-7627",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSPT, CSCS"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "ID",
            "license": "PT-2268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Jean Sanderlin, FNP
• Santibanez Pac Idaho
• Magno C Santos, FNP-C
• Christopher Sauvageau
• Sawtooth Health LLC
• Sayer Family Chiropractic, PA
• Alyssa M Sayer, PTA
• Eric Phillip Sayer, D.C.
• Audrey J Schaefer, PA-C
• Aaron Schaerrer, LMSW

• Specialist in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Specialist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2011; 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.