Intermountain Physical Therapy Limited Partnership

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

INTERMOUNTAIN PHYSICAL THERAPY LIMITED PARTNERSHIP

Practice address

3110 Cleveland Blvd
Building a Suite 5
Caldwell, ID 83605-0718

Phone

(208) 453-8785

Fax

(208) 453-8776

NPI assigned

Aug 19, 2006

Organization subpart

Yes

Parent organization

INTERMOUNTAIN PHYSICAL THERAPY LIMITED PARTNERSHIPAs reported in NPPES

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

Authorized official

Name

Richard Binstein

Title

VP

Phone

(713) 297-7000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Intermountain Physical Therapy Limited Partnership

  • Physical Therapy Clinic/Center
  • Nampa, ID
  • NPI 1144334525

  O20020829000007

  Same enrollment
• Intermountain Physical Therapy Limited Partnership

  • Physical Therapy Clinic/Center
  • Meridian, ID
  • NPI 1831203223

  O20020829000007

  Same enrollment

Part of

Intermountain PT SE Boi

Locations

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588809600000",
    "number": "1801900212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W SAM HOUSTON PKWY S",
            "address_2": "SUITE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770422447",
            "telephone_number": "713-297-7000",
            "fax_number": "713-297-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 CLEVELAND BLVD",
            "address_2": "BUILDING A SUITE 5",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836050718",
            "telephone_number": "208-453-8785",
            "fax_number": "208-453-8776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERMOUNTAIN PHYSICAL THERAPY LIMITED PARTNERSHIP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTERMOUNTAIN PHYSICAL THERAPY LIMITED PARTNERSHIP",
        "enumeration_date": "2006-08-19",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A",
        "authorized_official_last_name": "BINSTEIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "713-297-7000"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Insight Consulting, Inc.
• Insight Optical
• Integrity Therapeutic Services
• Integrity Therapeutic Services
• Integrity Therapuetic Services
• Edgardo Jose Irizarry, DC
• Brandon G Isaacs, DO
• Amber Marie Jackson, LCPC
• Ashlee Jackson, RN
• Cara Jackson

• Physical Therapy Clinic/Center in Caldwell, ID
• Providers in Caldwell, 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 May 7, 2020; 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.