Twin Falls Physical Therapy and Wellness Clinic

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

TWIN FALLS PHYSICAL THERAPY AND WELLNESS CLINIC

Practice address

812 Shoshone St E
Twin Falls, ID 83301-6336

Phone

(208) 735-8563

NPI assigned

Aug 23, 2006

Last updated

Aug 22, 2020By 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

Bradley Williams, RPTNPI 1841255015

Title

Physical Therapist

Phone

(208) 736-0887

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bradley C Williams, PT

  • Physical Therapist
  • Twin Falls, ID
  • NPI 1841255015
  NPD (past) Authorized official
• David Franklin Berry, MSPT

  • Physical Therapist
  • Twin Falls, ID
  • NPI 1821276858
  NPD (past)
• M Andrew Mix, RPT

  • Physical Therapist
  • Twin Falls, ID
  • NPI 1346205937
  NPD (past)

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174630750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1886",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833031886",
            "telephone_number": "208-736-0887",
            "fax_number": "208-736-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 SHOSHONE ST E",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016336",
            "telephone_number": "208-735-8563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN FALLS PHYSICAL THERAPY AND WELLNESS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "208-736-0887",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "T9479",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "000010141847",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Twin Falls Kids Dental LLC (Childrens Dentistry of Twin Falls)
• Twin Falls of Cascadia, LLC (Twin Falls Transitional Care of Cascadia)
• Twin Falls Orthopedics LLC
• Twin Falls Orthopedics PLLC
• Twin Falls Orthopedics, PLLC
• Twin Falls School District #411
• Twin Falls Senior Living LLC (Heritage Assisted Living and Memory Care)
• TWR Services
• Tyler R Wayment MD PC
• Amanda Lynn Tyler, PHARMD

• Physical Therapist in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.