Empower Pt, Pllc | |
804 Pancheri Dr, Idaho Falls, ID 83402-3344 | |
(208) 403-7422 | |
Not Available |
Full Name | Empower Pt, Pllc |
---|---|
Type | Facility |
Speciality | Physical Therapist - Orthopedic |
Location | 804 Pancheri Dr, Idaho Falls, Idaho |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538763370 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251S0007X | Physical Therapist - Sports | (* (Not Available)) | Secondary |
2251X0800X | Physical Therapist - Orthopedic | (* (Not Available)) | Primary |
Provider Name | Orin Kelley Ryan |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1346731056 PECOS PAC ID: 5395090245 Enrollment ID: I20180615002576 |
Provider Name | Jordan Stoddard |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1073115382 PECOS PAC ID: 5991114175 Enrollment ID: I20210430001897 |
Provider Name | Cory Craig Beck |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1376147991 PECOS PAC ID: 7719396894 Enrollment ID: I20210503000279 |
Provider Name | Gregory William Hyde |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1073376323 PECOS PAC ID: 7416397997 Enrollment ID: I20240501001128 |
Mailing Address | Practice Location Address |
---|---|
Empower Pt, Pllc 3716 E 343 N, Rigby, ID 83442-5326 Ph: (208) 403-7422 | Empower Pt, Pllc 804 Pancheri Dr, Idaho Falls, ID 83402-3344 Ph: (208) 403-7422 |
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