Active NPI
Siddhivinayak, LLC
Doing business as Fyzical Therapy & Balance Centers
- Physical Therapist
- Meridian, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- SIDDHIVINAYAK, LLC
- Doing business as
- Fyzical Therapy & Balance Centers
- Practice address
- 3645 E Overland Rd
Meridian, ID 83642-6751 - Phone
- (208) 703-4950
- NPI assigned
- Feb 20, 2023
- Last updated
- Feb 20, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gunjan D Patel, PT
- Title
- President
- Phone
- (208) 703-4950
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
3645 E Overland Rd
Meridian, ID 83642-6751
Mailing address
5457 S Ashcroft Way
Meridian, ID 83642-6866
Phone (208) 703-4950
Other names 1
- Fyzical Therapy & Balance Centers
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3645 E Overland Rd
Meridian, ID 83642
Phone (208) 703-4950
421 Caldwell Blvd
Ste 106
Nampa, ID 83651
Phone (208) 450-5577
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Physical Therapist
- Meridian, ID
- NPI 1861987356
-
- Physical Therapist
- Boise, ID
- NPI 1265118525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676851200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1676851200000",
"number": "1336847342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5457 S ASHCROFT WAY",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836426866",
"telephone_number": "208-703-4950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3645 E OVERLAND RD",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836426751",
"telephone_number": "208-703-4950"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIDDHIVINAYAK, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-20",
"last_updated": "2023-02-20",
"certification_date": "2023-02-20",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "GUNJAN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "208-703-4950",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Fyzical Therapy & Balance Centers",
"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 Feb 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.