Action Therapy, P.C.
Organization Active NPI Physical Therapist · Meridian, ID
NPI 1679520191 · NPPES record last updated Aug 12, 2010
Key facts
- NPI
- 1679520191
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- ACTION THERAPY, P.C.
- Practice address
- 3090 Gentry Way
#250
Meridian, ID 83642 - Phone
- (208) 888-0044
- Fax
- (208) 888-2211
- NPI assigned
- May 29, 2006
- Organization subpart
- No
Authorized official
- Name
- David S Ray, PT
- Title
- Owner/Physical Therapist
- Phone
- (208) 888-0044
Practitioners 13
-
Glen Ronald Bailey, MPT
-
Tommy Jo Brunelle, P.T., D.P.T.
-
Alan B. Crothers, PT
-
Brian M Jonart, MPT
-
Todd Andrew Loree, MPT
-
Jennifer Lynn Nevala, MPT
-
Jill Ray, OT
-
Lisa M. Swan, PT949
-
Tristan Thorne, DPT
-
Alan Williams, PT
-
Gary Fujino, PT
National Provider Directory
Locations
2085 E Hospitality Ln
Boise, ID 83716
Phone (208) 367-1010
1818 S 10th Ave
Ste 100
Caldwell, ID 83605
Phone (208) 453-9111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | ID | ||
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
3090 Gentry Way
#250
Meridian, ID 83642
Mailing address
3090 Gentry Way
#250
Meridian, ID 83642
Phone (208) 888-0044
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 806486200 | Medicaid | ID |
Other names
- Physical Therapy of Idaho
Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2010. 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.