Pinnacle Health PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PINNACLE HEALTH PLLC

Practice address

1829 S Goldsmith Ave
Meridian, ID 83642-6699

Phone

(760) 522-1985

NPI assigned

Aug 2, 2023

Organization subpart

No

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

Authorized official

Name

Jonathan Evan Demere, DPTNPI 1801223466

Title

Owner

Phone

(760) 522-1985

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

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.

• Jonathan Evan Demere, DPT

  • Physical Therapist
  • Meridian, ID
  • NPI 1801223466
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1659053395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1829 S GOLDSMITH AVE",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426699",
            "telephone_number": "760-522-1985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1829 S GOLDSMITH AVE",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426699",
            "telephone_number": "760-522-1985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "DEMERE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "EVAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-522-1985",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Pilon
• Joe Frank Pineda IV, DPT
• Stacy Pineda, LAMFT
• Erin Ping
• Nathan Allan Pingle, PHARM.D
• Pioneer Family Medicine PLLC
• Lea Jo Piper
• Lori Pirnie, PA
• Alan J.a. Pitt, MD
• Darren Scott Pittard, M.D.

• Physical Therapy Clinic/Center in Meridian, ID
• Providers in Meridian, ID by specialty
• Physical Therapy Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.