Primary Therapy Source LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

PRIMARY THERAPY SOURCE LLC

Practice address

254 River Vista PL
Twin Falls, ID 83301-3006

Phone

(208) 734-7333

Fax

(208) 734-8350

NPI assigned

Aug 18, 2008

Organization subpart

Yes

Parent organization

PRIMARY THERAPY SOURCE LLCAs reported in NPPES

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

Authorized official

Name

Jan Yingst, PT

Title

Owner

Phone

(208) 734-7333

Specialties & licenses 1

Addresses

Tax ID family

Primary Therapy Source LLC2 organizations share this tax ID, including this one

Part of

Primary Therapy Source LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Primary Therapy Source LLC

  • Speech-Language Pathologist
  • Twin Falls, ID
  • NPI 1114170024
  NPD tax ID

Locations

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1235385659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 RIVER VISTA PL",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013006",
            "telephone_number": "208-734-7333",
            "fax_number": "208-734-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 RIVER VISTA PL",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013006",
            "telephone_number": "208-734-7333",
            "fax_number": "208-734-8350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY THERAPY SOURCE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRIMARY THERAPY SOURCE LLC",
        "enumeration_date": "2008-08-18",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "YINGST",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-734-7333",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel G Preucil, M.D.
• Jennifer L Preucil, M.D.
• Janice Preuit
• Primary Therapy Source LLC
• Primary Therapy Source LLC
• Primary Therapy Source, Inc
• Primary Therapy Source, LLC
• Dustin Dakota Prince, DO
• Teresa Prine, PT
• Frederick Prins, OD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; 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.