Aspen Physical Therapy LLP
Organization Active NPI Physical Therapist · Pocatello, ID
NPI 1174699342 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1174699342
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT1555 (ID)
- Legal business name
- ASPEN PHYSICAL THERAPY LLP
- Practice address
- 1800 Garrett Way
Ste 19a
Pocatello, ID 83201-5132 - Phone
- (208) 233-1064
- Fax
- (208) 233-0219
- NPI assigned
- Nov 28, 2006
- Organization subpart
- No
Authorized official
- Name
- Brandi Scott, MPT
- Title
- Owner
- Phone
- (208) 233-1064
Practitioners 2
-
Brandi L Cavner, MPT
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | PT1555 | ID | Yes |
| Physical Therapist |
225100000X | PT1078 | ID |
Addresses
Primary practice location
1800 Garrett Way
Ste 19a
Pocatello, ID 83201-5132
Mailing address
1800 Garrett Way
Ste 19a
Pocatello, ID 83201-5132
Phone (208) 233-1064
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 85120066610450 | Other | ID | REGENCY (BRANDI SCOTT) |
| TD471 | Other | ID | BCID (BART MCDONALD) |
| 0000-10144181 | Other | ID | BSID (BRANDI SCOTT) |
| TA401 | Other | ID | BCID (BRANDI SCOTT) |
| 5479460 | Other | ID | CCN (BRANDI SCOTT) |
| TA393 | Other | ID | BCID (ASPEN PT) |
| 7042522 | Other | ID | AETNA |
Other providers in Pocatello, ID
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- Douglas Field Ashton
- Chelsey Aslett
- Steven L. Ater
- Melanie Athens
- Cheri L. Atkins
- Atlas Bracing LLC
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All providers in Pocatello, ID · Physical Therapist in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. 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.