Ide-Don Physical Therapy PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

IDE-DON PHYSICAL THERAPY PC

Practice address

1041 Stuart St Ste a
Lafayette, CA 94549-4044

Phone

(925) 286-8545

NPI assigned

Sep 21, 2018

Organization subpart

No

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

Authorized official

Name

Jonathan Ide-Don, PTNPI 1023311941

Title

Co-Owner, President

Phone

(925) 286-8545

Specialties & licenses 1

Addresses

Other names 1

• Ide-Don Physical Therapy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan Ide-Don, P.T.

  • Physical Therapist
  • Lafayette, CA
  • NPI 1023311941
  NPD (past) Authorized official

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

{
    "created_epoch": "1537488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1952885246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 VISTA VIA",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945494721",
            "telephone_number": "925-286-8545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 STUART ST STE A",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945494044",
            "telephone_number": "925-286-8545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDE-DON PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-21",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "IDE-DON",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "CO-OWNER, PRESIDENT",
        "authorized_official_telephone_number": "925-286-8545",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ide-Don Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marilyn Hunt, LMFT
• Austin Gollmer Hurst, PH.D., M.A.
• Lam-Thuy Huynh, MS, OTR/L
• Aisha Ibrahim
• Icboggan, Inc
• Jonathan Ide-Don, P.T.
• Imaging Partners Medical Group
• Nicole Indart
• Allison Inloes, MS, OTR/L
• Amber Jackson

• Physical Therapy Clinic/Center in Lafayette, CA
• Providers in Lafayette, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.