Parma Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT2800 Issued in ID

Legal business name

PARMA PHYSICAL THERAPY LLC

Practice address

206 N. 3Rd Street
Parma, ID 83660-0171

Phone

(208) 850-8295

Fax

(208) 585-6768

NPI assigned

Apr 22, 2015

Organization subpart

No

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

Authorized official

Name

Marc P Grow, MPTNPI 1497939938

Title

Owner

Phone

(208) 722-7350

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marc Grow, MPT

  • Physical Therapist
  • Elko, NV
  • NPI 1497939938

  ID

  Medicare reassignment Authorized official
• James Danforth Martin, PT, DPT

  • Orthopedic Physical Therapist
  • Gilbert, AZ
  • NPI 1346554508

  ID

  Medicare reassignment

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433376000000",
    "number": "1235526757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 171",
            "address_2": "206 N 3RD STREET",
            "city": "PARMA",
            "state": "ID",
            "postal_code": "83660",
            "telephone_number": "208-722-7350",
            "fax_number": "208-722-7351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 N. 3RD STREET",
            "city": "PARMA",
            "state": "ID",
            "postal_code": "836600171",
            "telephone_number": "208-850-8295",
            "fax_number": "208-585-6768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARMA PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-22",
        "last_updated": "2015-06-04",
        "status": "A",
        "authorized_official_last_name": "GROW",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-722-7350",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT2800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chanda Gulick, BSN, RN, CEN
• Rosa Herrera
• Hti Physician Services of Utah, Inc
• Ryan Michael Leininger, DMD
• MD Medical Management Inc
• Parma Rural Fire Protection District
• Kaleigh Yvonne Perry, CPM, LM
• Shawn A Rudkin, DC CCEP
• Darby Shadwick
• Shawn a Rudkin & Associates P C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; 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.