Professional Rehabilitation Network, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

RPT-1361 Issued in ID

Legal business name

PROFESSIONAL REHABILITATION NETWORK, INC.

Practice address

319 8TH Ave N
Twin Falls, ID 83301-6351

Phone

(208) 539-4776

NPI assigned

May 23, 2007

Last updated

Jul 8, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Noah Miller, PTNPI 1134339419

Title

Owner President

Phone

(208) 539-4776

Specialties & licenses 1

Addresses

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.

• Noah Paquette Miller, PT

  • Physical Therapist
  • Twin Falls, ID
  • NPI 1134339419
  Authorized official Same address or phone

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1881804169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 8TH AVE N",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016351",
            "telephone_number": "208-539-4776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 8TH AVE N",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016351",
            "telephone_number": "208-539-4776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL REHABILITATION NETWORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "NOAH",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "208-539-4776",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "RPT-1361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pristine Health LLC.
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• Jennifer Marie Pritchard, LCPC, LPCC, LPC
• Pro Active Advantage, LLC (Pro Active Behavioral Health)
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• Trent Pryor, D.M.D
• Psychiatric Services Behavioral Health Clinic Inc (Psbhc)
• Psychiatric Services Behavioral Health Clinic, Inc.
• Psychiatric Services BHC, Inc
• Psychiatric Services, PA

• Physical Therapist in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.