Firm Fouindations LLC

Primary specialty

Rehabilitation PsychologistTaxonomy code 103TR0400X

Legal business name

FIRM FOUINDATIONS LLC

Practice address

2496 Mesa St
Idaho Falls, ID 83401-3369

Phone

(208) 251-7885

Fax

(208) 745-0527

NPI assigned

May 21, 2007

Organization subpart

No

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

Authorized official

Name

Jesse Peterson, MS

Title

Co-Owner

Phone

(208) 251-7885

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821207580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2496 MESA ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834013369",
            "telephone_number": "208-251-7885",
            "fax_number": "208-745-0527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2496 MESA ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834013369",
            "telephone_number": "208-251-7885",
            "fax_number": "208-745-0527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRM FOUINDATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "208-251-7885",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "103TR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8068920",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brady Lorin Fielding, DC
• Kaela Fife
• Irinel Finco, PHARMD
• Kylie Jannell Finlayson, PTA
• Christina Marie Finnerty, NP
• First Care Medical of Idaho LLC
• Jeremy Ethan Firstenberg, OTR/L
• Fischer Medical Equipment Inc
• Amy Elizabeth Fisher, MS, CCC-SLP
• Katie Fisher, MOTR/L

• Rehabilitation Psychologist in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Rehabilitation Psychologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.