NPIMap

Organization Active NPI

DM Management PC

Doing business as One on One Physical Therapy

  • Physical Therapy Clinic/Center
  • Meridian, ID
National Provider Identifier
1336102318
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
DM MANAGEMENT PC
Doing business as
One on One Physical Therapy
Practice address
2321 E Gala St
Suite 1
Meridian, ID 83642-4881
Phone
(208) 888-4321
Fax
(208) 895-8747
NPI assigned
Apr 10, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Matthew L. Walker, MPTNPI 1003831249
Title
Owner/Therapist
Phone
(208) 888-4321

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
Physical Therapy Clinic/Center 261QP2000X ID Primary

Addresses

Primary practice location

2321 E Gala St
Suite 1
Meridian, ID 83642-4881

Mailing address

2321 E Gala St
Suite 1
Meridian, ID 83642-4881
Phone (208) 888-4321

Other identifiers 1

IdentifierTypeStateIssuer
TA922OtherIDBLUE CROSS OF IDAHO GROUP

Other names 1

  • One on One Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

2321 E Gala St
Ste 1
Meridian, ID 83642
Phone (208) 888-4321

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1336102318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 E GALA ST",
            "address_2": "SUITE 1",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836424881",
            "telephone_number": "208-888-4321",
            "fax_number": "208-895-8747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 E GALA ST",
            "address_2": "SUITE 1",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836424881",
            "telephone_number": "208-888-4321",
            "fax_number": "208-895-8747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DM MANAGEMENT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "208-888-4321",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO GROUP",
            "identifier": "TA922",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "One on One Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.