Advanced PT LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-1238 Issued in ID

Legal business name

ADVANCED PT LLC

Doing business as

Preferred PT Overland

Practice address

9211 W Overland Rd
Boise, ID 83709-2502

Phone

(208) 377-9503

Fax

(208) 322-2825

NPI assigned

Oct 11, 2006

Last updated

Feb 27, 2008By 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

David C Todd, P.T.NPI 1992730204

Title

PT/Owner

Phone

(316) 260-6869

Specialties & licenses 1

Addresses

Other names 1

• Preferred PT Overland Doing business as

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.

• David Charles Todd, MPT

  • Physical Therapist
  • Wichita, KS
  • NPI 1992730204
  Authorized official Same address or phone

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1295823268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W DOUGLAS",
            "address_2": "STE 1040",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023017",
            "telephone_number": "316-263-0003",
            "fax_number": "316-263-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9211 W OVERLAND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837092502",
            "telephone_number": "208-377-9503",
            "fax_number": "208-322-2825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "TODD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PT/OWNER",
        "authorized_official_telephone_number": "316-260-6869",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-1238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Preferred PT Overland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapist in Boise, ID
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.