Anew Day Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

ANEW DAY PHYSICAL THERAPY LLC

Practice address

750 W Quinn Rd Ste a
Pocatello, ID 83202-1929

Phone

(208) 221-2973

NPI assigned

Sep 6, 2022

Last updated

Sep 6, 2022By 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

Dr. Shaloam Ofisa, DC, MS, ACCNPI 1952713166

Title

Owner

Phone

(208) 221-2973

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 3

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.

• Aliitasi Lynn Guerrero

  • Physical Therapist
  • Pocatello, ID
  • NPI 1346704384
  Medicare reassignment Care Compare group NPD
• Tristan A Clements, DPT

  • Physical Therapist
  • Ponderay, ID
  • NPI 1467138636
  Care Compare group NPD
• Shaloam Ofisa, D.C., M.S.

  • Chiropractor
  • Pocatello, ID
  • NPI 1952713166
  NPD Authorized official

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662422400000",
    "number": "1972224103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 W QUINN RD STE A",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832021929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 W QUINN RD STE A",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832021929",
            "telephone_number": "208-221-2973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANEW DAY PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A",
        "authorized_official_last_name": "OFISA",
        "authorized_official_first_name": "SHALOAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-221-2973",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, MS, ACC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Pocatello, ID
• Providers in Pocatello, 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 Sep 6, 2022; 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.