Organization Active NPI

Enhanced Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Saint Anthony, ID
National Provider Identifier
1225734700
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ENHANCED PHYSICAL THERAPY PLLC
Practice address
9 N Bridge St
Saint Anthony, ID 83445-2110
Phone
(208) 600-6282
NPI assigned
Feb 6, 2023
Last updated
Feb 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Authorized official

Name
Megan Nye
Title
Office Manager/Billing Specialist
Phone
(208) 600-6282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

9 N Bridge St
Saint Anthony, ID 83445-2110

Mailing address

9 N Bridge St
Saint Anthony, ID 83445-2110
Phone (208) 600-6282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231020002798 ID Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1456723576 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Anthony, ID

National Provider Directory

National Provider Directory

Locations

9 N Bridge St
Saint Anthony, ID 83445
Phone (208) 600-6282

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1225734700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 N BRIDGE ST",
            "city": "SAINT ANTHONY",
            "state": "ID",
            "postal_code": "834452110",
            "telephone_number": "208-600-6282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 N BRIDGE ST",
            "city": "SAINT ANTHONY",
            "state": "ID",
            "postal_code": "834452110",
            "telephone_number": "208-600-6282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENHANCED PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "NYE",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "OFFICE MANAGER/BILLING SPECIALIST",
        "authorized_official_telephone_number": "208-600-6282"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Anthony, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.