| Christopher J Lougheed, DPT | |
|
77 N Fisher Park Way, Eagle, ID 83616-4796 | |
| (208) 972-0918 | |
| (877) 890-5617 |
| Full Name | Christopher J Lougheed |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 77 N Fisher Park Way, Eagle, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760627038 | NPI | - | NPPES |
| 1760627038 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT-3215 (Idaho) | Primary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | Secondary |
| Provider Name | Greater Brunswick Physical Therapy Pa |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1568567659 PECOS PAC ID: 8426019621 Enrollment ID: O20041021000255 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher J Lougheed, DPT 2965 E Tarpon Dr Ste 150, Meridian, ID 83642-9007 Ph: (208) 287-9420 | Christopher J Lougheed, DPT 77 N Fisher Park Way, Eagle, ID 83616-4796 Ph: (208) 972-0918 |
Allison Andrews Boldridge, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 77 N Fisher Park Way, Eagle, ID 83616 Phone: 208-297-3039 | |
Serin Kim, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 77 N Fisher Park Way, Eagle, ID 83616 Phone: 208-297-3039 Fax: 208-416-6635 | |
Kathryn L Stednitz, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 21 N Fisher Park Way, Eagle, ID 83616 Phone: 208-514-0670 | |
Christopher Fox, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 645 E State St Ste 101, Eagle, ID 83616 Phone: 208-939-9594 Fax: 208-939-9828 | |
Emily Verheijen, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 507 S Fitness Pl Ste 110, Eagle, ID 83616 Phone: 208-629-1030 Fax: 208-346-7618 | |
Ms. Megan Meduna, MSPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 457 S Fitness Pl Ste 100, Eagle, ID 83616 Phone: 208-939-3332 Fax: 208-939-3338 | |
Elise Talboy, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 516 S Wooddale Pl, Eagle, ID 83616 Phone: 208-477-7363 |