Ammon Benjamin Birk, DPT | |
940 Ballard Way, Kimberly, ID 83341 | |
(801) 874-0479 | |
Not Available |
Full Name | Ammon Benjamin Birk |
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Gender | Male |
Speciality | Physical Therapist |
Location | 940 Ballard Way, Kimberly, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851889182 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT-4245 (Idaho) | Primary |
Provider Name | Pennsylvania Luna Care Physical Therapy Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1528689445 PECOS PAC ID: 7012338973 Enrollment ID: O20200601001529 |
Mailing Address | Practice Location Address |
---|---|
Ammon Benjamin Birk, DPT 940 Ballard Way, Kimberly, ID 83341-5162 Ph: (801) 874-0479 | Ammon Benjamin Birk, DPT 940 Ballard Way, Kimberly, ID 83341 Ph: (801) 874-0479 |
Reagan Ronald Ward, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 931 Center St W Ste C, Kimberly, ID 83341 Phone: 208-423-9999 Fax: 208-423-9998 | |
Baker Mobile Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 3463 E 3890 N, Kimberly, ID 83341 Phone: 208-644-0693 | |
Ashlyn Marie Zoon, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 931 Center St W Ste C, Kimberly, ID 83341 Phone: 208-423-9999 Fax: 208-423-9998 | |
Dr. Trevor John Baker, PT, DPT, GCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3463 E 3890 N, Kimberly, ID 83341 Phone: 208-644-0693 Fax: 208-231-8628 |