NPIMap

Organization Active NPI

Streubel Therapy Services

  • Physical Therapy Clinic/Center
  • Driggs, ID
National Provider Identifier
1992932263
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
STREUBEL THERAPY SERVICES
Practice address
285 E Little Ave
Driggs, ID 83422-5137
Phone
(208) 354-1999
Fax
(208) 354-1999
NPI assigned
Jun 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Authorized official

Name
Dan Streubel
Title
Owner/Physical Therapist
Phone
(208) 354-1999

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X PT-937 ID
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

285 E Little Ave
Driggs, ID 83422-5137

Mailing address

1479 Table Rock Dr
Driggs, ID 83422-5292
Phone (208) 354-1999

Other identifiers 1

IdentifierTypeStateIssuer
004405500MedicaidID

Other names 1

  • Streubel Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

18 N Main St
Ste 215
Driggs, ID 83422
Phone (208) 354-1999

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600732800000",
    "number": "1992932263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1479 TABLE ROCK DR",
            "city": "DRIGGS",
            "state": "ID",
            "postal_code": "834225292",
            "telephone_number": "208-354-1999",
            "fax_number": "866-875-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 E LITTLE AVE",
            "city": "DRIGGS",
            "state": "ID",
            "postal_code": "834225137",
            "telephone_number": "208-354-1999",
            "fax_number": "208-354-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STREUBEL THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-15",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "STREUBEL",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "208-354-1999"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "ID",
            "license": "PT-937",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004405500",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Streubel Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Streubel Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Driggs, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.