Organization Active NPI

Vibrant Physical Therapy & Wellness

  • Physical Therapy Clinic/Center
  • Eagle, ID
National Provider Identifier
1356964449
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
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

Updated by the provider on Apr 6, 2023

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, CSCSNPI 1861711764
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.