Joanna Williams Alford, RPT
Individual provider Active NPI Physical Therapist · Moscow, ID
NPI 1992855100 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1992855100
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1602 (ID)
- Practice address
- 810 S Main St.
Moscow, ID 83843 - Phone
- (208) 883-1522
- NPI assigned
- Jan 11, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peak Performance Physical Therapy | Physical Therapist | Past |
Accepting new patients |
| Gritman Medical Center Inc. | Past | Accepting new patients | |
| BK Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1602 | ID | Yes |
Addresses
Primary practice location
810 S Main St.
Moscow, ID 83843
Mailing address
504 N Hayes St
Moscow, ID 83843-3237
Phone (208) 882-4929
Other providers in Moscow, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.