Orofino Physical Therapy, PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT538 Issued in ID

Legal business name

OROFINO PHYSICAL THERAPY, PLLC

Practice address

1005 Michigan Avenue
Orofino, ID 83544-2546

Phone

(208) 375-0666

Fax

(208) 375-2996

NPI assigned

Oct 14, 2013

Last updated

Mar 29, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shellie M McCarthy

Title

Vice President

Phone

(208) 375-0666

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Peak Physical Therapy P C

  • Physical Therapist
  • Boise, ID
  • NPI 1073551560

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1381708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396051200000",
    "number": "1164850947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 MICHIGAN AVENUE",
            "city": "OROFINO",
            "state": "ID",
            "postal_code": "835441005",
            "telephone_number": "208-476-9365",
            "fax_number": "208-476-9366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 MICHIGAN AVENUE",
            "city": "OROFINO",
            "state": "ID",
            "postal_code": "835442546",
            "telephone_number": "208-375-0666",
            "fax_number": "208-375-2996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OROFINO PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-14",
        "last_updated": "2014-03-29",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "SHELLIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "208-375-0666"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carissa Jo Myers, LMSW
• Sarah Colleen Nelson, LMT
• Kristy Lou Olson, MS
• Orofino Chiropractic, PLLC (Orofino Spine Center)
• Orofino Physical Therapy and Wellness Inc
• Orofino Retirement Properties Inc (Brookside Landing)
• Owc, Inc. (Orofino Wellness Center)
• Phillip H Petersen, MD
• Patricia Peterson, R.PH.
• Ashley Marie Pomponio

• Physical Therapist in Orofino, ID
• Providers in Orofino, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.