| Caleb Malvini, | |
|
215 E Hawaii Ave, Nampa, ID 83686-6011 | |
| (208) 463-3244 | |
| Not Available |
| Full Name | Caleb Malvini |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 215 E Hawaii Ave, Nampa, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710638028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 7218 (Idaho) | Primary |
| Provider Name | Therapeutic Associates Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1487630240 PECOS PAC ID: 0042116279 Enrollment ID: O20040515000415 |
| Provider Name | Altitude Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1619045309 PECOS PAC ID: 0244267029 Enrollment ID: O20050722000897 |
| Mailing Address | Practice Location Address |
|---|---|
| Caleb Malvini, 131 Constitution Way, Nampa, ID 83686-6018 Ph: () - | Caleb Malvini, 215 E Hawaii Ave, Nampa, ID 83686-6011 Ph: (208) 463-3244 |
Nathan Ira Allen, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2635 Caldwell Blvd, Ste. B, Nampa, ID 83651 Phone: 208-442-0577 Fax: 208-442-7455 | |
Peter James Rowley, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 337 W Iowa Ave, Nampa, ID 83686 Phone: 208-467-7889 Fax: 208-467-7800 | |
Carmen M Schmidt, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 220 10th Ave S, Nampa, ID 83651 Phone: 208-489-5950 | |
Mr. James Richard Teater, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4300 E Flamingo Ave, Nampa, ID 83687 Phone: 208-205-5059 | |
Derek Matthew Wood, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 172 2nd St S, Nampa, ID 83651 Phone: 208-385-3620 | |
Tyler Powell, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16816 N Marketplace Blvd, Nampa, ID 83687 Phone: 208-461-9593 Fax: 208-369-9272 | |
Verl Dean Cook, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14873 Hensen Dr, Nampa, ID 83651 Phone: 208-475-1986 |