Active NPI
Marc R Lambert, DPT
- Physical Therapist
- Twin Falls, ID
National Provider Identifier
1326276882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-2561
- Practice address
- 754 N College Rd
Ste D
Twin Falls, ID 83301-5822 - Phone
- (208) 734-5313
- Fax
- (208) 736-1582
- NPI assigned
- Jun 23, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-2561 | ID | Primary |
Addresses
Primary practice location
754 N College Rd
Ste D
Twin Falls, ID 83301-5822
Mailing address
1053 Eastland Dr
Twin Falls, ID 83301-6747
Phone (208) 736-9011
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326276882 | Medicaid | ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Utah School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
754 N College Rd
Suite D
Twin Falls, ID 83301-5822
Phone (208) 734-5313
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Twin Falls, ID
- NPI 1427029610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538006400000",
"number": "1326276882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1053 EASTLAND DR",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833016747",
"telephone_number": "208-736-9011",
"fax_number": "208-943-9014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "754 N COLLEGE RD",
"address_2": "STE D",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833015822",
"telephone_number": "208-734-5313",
"fax_number": "208-736-1582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMBERT",
"first_name": "MARC",
"middle_name": "R",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-23",
"last_updated": "2018-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "PT-2561",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1326276882",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Twin Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.