NPIMap

Organization Active NPI

Two Rivers Myofunctional Therapy LLC

  • Specialist
  • Nampa, ID
National Provider Identifier
1306462197
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
TWO RIVERS MYOFUNCTIONAL THERAPY LLC
Practice address
635 W Cedar Pointe Way
Nampa, ID 83686-5582
Phone
(208) 918-1953
NPI assigned
Jun 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Authorized official

Name
Lindsay CampbellNPI 1609002450
Title
Owner/Myofucntional Therapist
Phone
(208) 918-1953

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

635 W Cedar Pointe Way
Nampa, ID 83686-5582

Mailing address

635 W Cedar Pointe Way
Nampa, ID 83686-5582
Phone (208) 918-1953

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592352000000",
    "number": "1306462197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 W CEDAR POINTE WAY",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836865582",
            "telephone_number": "208-918-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 W CEDAR POINTE WAY",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836865582",
            "telephone_number": "208-918-1953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWO RIVERS MYOFUNCTIONAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-17",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_title_or_position": "OWNER/MYOFUCNTIONAL THERAPIST",
        "authorized_official_telephone_number": "208-918-1953"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; 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.