Active NPI
Vibrant Physical Therapy & Wellness
- Physical Therapy Clinic/Center
- Eagle, ID
National Provider Identifier
1356964449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- VIBRANT PHYSICAL THERAPY & WELLNESS
- Practice address
- 280 S Academy Ave Ste 120
Eagle, ID 83616-6562 - Phone
- (208) 800-2233
- NPI assigned
- May 22, 2020
- 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
- Dr. Heather Ann Lowe, DPT, ATC, CSCS
- Title
- Owner/Physical Therapist
- Phone
- (208) 339-0951
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 Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
280 S Academy Ave Ste 120
Eagle, ID 83616-6562
Mailing address
663 Hialeah Dr
Eagle, ID 83616-4703
Phone (208) 339-0951
Other practice location 1
711 N Eagle Hills Way
Eagle, ID 83616-5211
Phone (208) 339-0951
National Provider Directory
National Provider DirectoryLocations
280 S Academy Ave
Ste 120
Eagle, ID 83616
Phone (208) 477-4457
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Eagle, ID
- NPI 1861711764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680739200000",
"number": "1356964449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "663 HIALEAH DR",
"city": "EAGLE",
"state": "ID",
"postal_code": "836164703",
"telephone_number": "208-339-0951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 S ACADEMY AVE STE 120",
"city": "EAGLE",
"state": "ID",
"postal_code": "836166562",
"telephone_number": "208-800-2233"
}
],
"practiceLocations": [
{
"address_1": "711 N Eagle Hills Way",
"address_purpose": "LOCATION",
"city": "Eagle",
"state": "ID",
"postal_code": "836165211",
"country_code": "US",
"telephone_number": "208-339-0951",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "VIBRANT PHYSICAL THERAPY & WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-22",
"last_updated": "2023-04-06",
"certification_date": "2023-04-06",
"status": "A",
"authorized_official_last_name": "LOWE",
"authorized_official_first_name": "HEATHER",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
"authorized_official_telephone_number": "208-339-0951",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPT, ATC, CSCS"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eagle, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.