Forza Physical Therapy PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

FORZA PHYSICAL THERAPY PLLC

Practice address

605 Taylor LN
Chubbuck, ID 83202-5169

Phone

(208) 221-6952

Fax

(844) 946-0909

NPI assigned

Apr 3, 2020

Organization subpart

No

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

Authorized official

Name

Derrick Northrup, MSPT

Title

Physical Therapist

Phone

(208) 221-6952

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585872000000",
    "number": "1396374146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 TAYLOR LN",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832025169",
            "telephone_number": "208-221-6952",
            "fax_number": "844-946-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 TAYLOR LN",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832025169",
            "telephone_number": "208-221-6952",
            "fax_number": "844-946-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORZA PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-03",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A",
        "authorized_official_last_name": "NORTHRUP",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "208-221-6952",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Byron W. Fisher, RPH.
• Flicker Physical Therapy LLC
• Timothy Andrew Flicker, MPT, DPT, CSCS
• Sarah Flores, PARAPROFESSIONAL
• Branson Lee Fonnesbeck, PT, DPT
• Kayla R Frandsen, LMSW
• Sophia M Garrett, DPT
• Emma Garritson
• Madison Gates
• Gem Prep Pocatello, Inc

• Physical Therapist in Chubbuck, ID
• Providers in Chubbuck, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; 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.