Unknown Individual – Physical Therapist, NPI 1154373702
Physical Therapist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
50 E JAMES COURT DR STE A
MERIDIAN, ID 836468751
Phone: (208) 895-0715
Fax: (208) 895-0746
Type: Mailing
50 E James Court Dr Ste A
Meridian, ID 83646
Phone: (208) 895-0715
Fax: (208) 895-0746
Type: Location
141 Triunfo Cyn Road
Westlake Village, CA 913612525
Phone: (805) 373-6560
Fax: (805) 373-5120
Type: Location
2647 W San Remo Dr
Meridian, ID 836463225
Phone: (208) 600-7688
Fax: (208) 473-7308
Type: Location
1188 W University Dr
Boise, ID 83706
Phone: (208) 336-8250
Fax: (208) 345-9514
Type: Location
1015 12th Ave S Ste 105
Nampa, ID 836514660
Phone: (208) 467-4357
Fax: (208) 467-4395
Type: Location
NPPES updates history
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Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 83646)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL THERAPY | CA | 97001 | Physical therapy evaluation | 15 | 15 |
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