King Physical Therapy P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-1924 Issued in ID

Legal business name

KING PHYSICAL THERAPY P.C.

Practice address

103 S Commercial Ave
Emmett, ID 83617-2921

Phone

(208) 477-8028

Fax

(208) 287-9426

NPI assigned

Aug 9, 2010

Last updated

Jan 16, 2013By 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

Scott Glen King, MPTNPI 1053648923

Title

President

Phone

(208) 477-8028

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

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.

• Scott Glen King, M.P.T.

  • Physical Therapist
  • Emmett, ID
  • NPI 1053648923
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1281312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358294400000",
    "number": "1891000386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1056",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836171056",
            "telephone_number": "208-477-8028",
            "fax_number": "208-287-9426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S COMMERCIAL AVE",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836172921",
            "telephone_number": "208-477-8028",
            "fax_number": "208-287-9426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-09",
        "last_updated": "2013-01-16",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "GLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-477-8028",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-1924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juliette Jennings
• Logan Johnson, LMSW
• Jonathan Barrus DO PC (Gem Family Medicine)
• Hailey Lucile Kahre
• Christopher Kimball, OD
• Scott Glen King, M.P.T.
• Peggy Knodel, LMFT
• Randi Jo Korell, MS LCPC
• Tara Landis, LCSW
• Danielle Dominique Langley

• Physical Therapist in Emmett, ID
• Providers in Emmett, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; 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.