Brad Wayne Billington, P.T.
Individual provider Active NPI Physical Therapist · Post Falls, ID
NPI 1609815331 · NPPES record last updated Nov 17, 2015
Key facts
- NPI
- 1609815331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT 266 (ID)
- Practice address
- 185 W 4TH Ave
Suite C
Post Falls, ID 83854-4978 - Phone
- (208) 777-8851
- Fax
- (208) 777-8851
- NPI assigned
- Jun 6, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 266 | ID | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeside Physical Therapy LLC | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 266 | ID | Yes |
Addresses
Primary practice location
185 W 4TH Ave
Suite C
Post Falls, ID 83854-4978
Mailing address
185 W 4TH Ave Ste C
Physical Therapy Center of Post Falls
Post Falls, ID 83854-4979
Phone (208) 777-8851
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 805136200 | Medicaid | ID |
Other names
- Bradley Wayne Billington
Other providers in Post Falls, ID
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- Raymond J Bertoni
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- Stephen Anthony Blas
- Stephanie Danae Blaser
- Tanya Sue Blaty
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All providers in Post Falls, ID · Physical Therapist in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2015. 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.