Invictus RX PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

INVICTUS RX PLLC

Practice address

847 Lindsay Blvd
Idaho Falls, ID 83402-1819

Phone

(208) 504-1895

Fax

(208) 646-4279

NPI assigned

May 29, 2021

Last updated

Mar 30, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffrey Michael Denning, DPTNPI 1740956002

Title

Owner

Phone

(208) 360-9151

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 1

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.

• Jeffrey Michael Denning, DPT

  • Physical Therapist
  • Idaho Falls, ID
  • NPI 1740956002
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1622246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1497321509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2085 ALAN ST APT 1",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834045792",
            "telephone_number": "208-360-9151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 LINDSAY BLVD",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834021819",
            "telephone_number": "208-504-1895",
            "fax_number": "208-646-4279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2085 Alan St Apt 1",
            "address_purpose": "LOCATION",
            "city": "Idaho Falls",
            "state": "ID",
            "postal_code": "83404",
            "country_code": "US",
            "telephone_number": "208-504-1895",
            "fax_number": "208-646-4279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INVICTUS RX PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-29",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "DENNING",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-360-9151",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.

Verify at the official NPI Registry.