Josiah Brandt Price, PTA
Individual provider Active NPI Physical Therapy Assistant · American Falls, ID
NPI 1417765397 · NPPES record last updated Dec 23, 2024
Key facts
- NPI
- 1417765397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA-8663 (ID)
- Practice address
- 588 Fort Hall Ave
American Falls, ID 83211-1240 - Phone
- (208) 233-2248
- NPI assigned
- Dec 23, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA-8663 | ID | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA-8663 | ID | Yes |
Addresses
Primary practice location
588 Fort Hall Ave
American Falls, ID 83211-1240
Mailing address
588 Fort Hall Ave
American Falls, ID 83211-1240
Other providers in American Falls, ID
- Power County Hospital District
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All providers in American Falls, ID · Physical Therapy Assistant in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.