Mr Matthew D Woodruff, MOTR/L | |
5521 W State St, Boise, ID 83703-3337 | |
(208) 853-6220 | |
(208) 853-0554 |
Full Name | Mr Matthew D Woodruff |
---|---|
Gender | Male |
Speciality | Occupational Therapy |
Experience | 23 Years |
Location | 5521 W State St, Boise, Idaho |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629220918 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT-765 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sawtooth Physical Therapy | 1759552961 | 17 |
Csrm Llc | 4789078312 | 18 |
Provider Name | Sawtooth Physical Therapy |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1013206002 PECOS PAC ID: 1759552961 Enrollment ID: O20110920000507 |
Provider Name | Csrm Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1669132353 PECOS PAC ID: 4789078312 Enrollment ID: O20220224002990 |
Mailing Address | Practice Location Address |
---|---|
Mr Matthew D Woodruff, MOTR/L 3015 E Magic View Dr, Ste 100, Meridian, ID 83642-3750 Ph: (208) 853-6220 | Mr Matthew D Woodruff, MOTR/L 5521 W State St, Boise, ID 83703-3337 Ph: (208) 853-6220 |
Murry Odonnell, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-7275 | |
Mr. Julie H Orozco, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 W Fort St, Mail Code(117), Boise, ID 83702 Phone: 208-422-1000 Fax: 208-422-1241 | |
Macaile Hutt, MASTERS IN OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1172 W Franklin Rd, Boise, ID 83709 Phone: 208-375-4200 Fax: 208-375-4201 | |
Claire Marie Johnson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2222 | |
Eric S Burback, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 901 N Curtis Rd Ste 304, Boise, ID 83706 Phone: 208-342-4263 Fax: 208-375-0597 | |
Jennifer K Dennis, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9050 W Overland Rd, Boise, ID 83709 Phone: 208-321-8880 | |
Sarah Ann Oftedal, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5609 S Adonis Pl, Boise, ID 83716 Phone: 208-794-2674 |