| Blackfoot Physical Therapy | |
|
285 W Francis St, Blackfoot, ID 83221-1751 | |
| (208) 785-0123 | |
| (208) 782-1885 |
| Full Name | Blackfoot Physical Therapy |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 285 W Francis St, Blackfoot, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295919439 | NPI | - | NPPES |
| 805694300 | Medicaid | ID | |
| T9453 | Other | ID | BLUE CROSS OF ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Ryan Hurst |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548429087 PECOS PAC ID: 5092888693 Enrollment ID: I20080715000501 |
| Provider Name | Brandon S Hawker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356600043 PECOS PAC ID: 5092890822 Enrollment ID: I20120627000832 |
| Provider Name | Tyce Alden Stewart |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013574748 PECOS PAC ID: 8325373160 Enrollment ID: I20190716001440 |
| Mailing Address | Practice Location Address |
|---|---|
| Blackfoot Physical Therapy 285 W Francis St, Blackfoot, ID 83221-1751 Ph: (208) 785-0123 | Blackfoot Physical Therapy 285 W Francis St, Blackfoot, ID 83221-1751 Ph: (208) 785-0123 |
Tyce Alden Stewart, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 285 W Francis St, Blackfoot, ID 83221 Phone: 208-785-0123 Fax: 208-782-1885 | |
Bryan J. Gibby, MSPT, CWS Physical Therapist Medicare: Medicare Enrolled Practice Location: 1492 Christensen Dr, Blackfoot, ID 83221 Phone: 208-240-7221 | |
Jessica Annelaine Vandyke, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 282 W Bridge St, Blackfoot, ID 83221 Phone: 208-684-0021 | |
Brian Don Boehme, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1441 Parkway Dr, Blackfoot, ID 83221 Phone: 208-785-2600 | |
Pete Richar Johnson, Physical Therapist Medicare: Medicare Enrolled Practice Location: 131 N Oak St, Blackfoot, ID 83221 Phone: 208-684-2444 | |
Mr. Dustin Cade Schmitt, MPT, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 285 W Francis St, Blackfoot, ID 83221 Phone: 208-785-0123 | |
Jonathan Dac-moang Liem, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1441 Parkway Dr Ste 1, Blackfoot, ID 83221 Phone: 208-785-3446 Fax: 208-980-7241 |