Physiotherapy P.a.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PHYSIOTHERAPY P.A.

Practice address

661 S Rivershore LN
Eagle, ID 83616-5396

Phone

(208) 938-8020

Fax

(208) 938-8016

NPI assigned

Aug 1, 2006

Last updated

Aug 22, 2020By 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

Mr. David Alan Fleckenstein, MPTNPI 1255381091

Title

Administrator

Phone

(208) 938-8020

Specialties & licenses 1

Addresses

Locations

Practitioners 6

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 Alan Fleckenstein, MPT

  • Physical Therapist
  • Eagle, ID
  • NPI 1255381091
  NPD (past) Authorized official
• Ronald Dale Miller, MPT

  • Physical Therapist
  • Boise, ID
  • NPI 1952352601
  NPD (past)
• Jana Nicole Repulski, PT, OCS

  • Physical Therapist
  • Eagle, ID
  • NPI 1801846498
  NPD (past)
• Kathryn N Rice, D.P.T.

  • Physical Therapist
  • Eagle, ID
  • NPI 1336434455
  NPD (past)
• Christopher J Seagrave, PT, SCS, ATC, CSCS

  • Physical Therapist
  • Eagle, ID
  • NPI 1821101064
  NPD (past)
• Laura Lynn Townsend, PT

  • Physical Therapist
  • Eagle, ID
  • NPI 1699101980
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306852850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 S RIVERSHORE LN",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836165396",
            "telephone_number": "208-938-8020",
            "fax_number": "208-938-8016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 S RIVERSHORE LN",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836165396",
            "telephone_number": "208-938-8020",
            "fax_number": "208-938-8016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIOTHERAPY P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FLECKENSTEIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "208-938-8020",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trenton Lucas Perry, PA
• Ramsay L Peters
• Samuel Petersen, DMD
• Taryn Peterson
• Ann Phillips
• Marlo Pichardo, PAC
• Brenda Pickett, LCSW
• Stacie Spiker Pierson, OTR/L
• Baylee May Poole
• Miles Poole, OD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.