| Idaho Physical Rehabilitation Llc | |
|
100 N 3rd St, Mccall, ID 83638-4401 | |
| (800) 588-2539 | |
| (208) 329-5807 |
| Full Name | Idaho Physical Rehabilitation Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 100 N 3rd St, Mccall, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588333256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Bret A Bastian |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760798375 PECOS PAC ID: 6608992649 Enrollment ID: I20100927001129 |
| Provider Name | Tara Osborne |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477843811 PECOS PAC ID: 5193991842 Enrollment ID: I20111229000480 |
| Provider Name | Jennifer Rae Millington Sowers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851581029 PECOS PAC ID: 0840637997 Enrollment ID: I20240325002218 |
| Mailing Address | Practice Location Address |
|---|---|
| Idaho Physical Rehabilitation Llc 100 N 3rd St, Mccall, ID 83638-4401 Ph: (800) 588-2539 | Idaho Physical Rehabilitation Llc 100 N 3rd St, Mccall, ID 83638-4401 Ph: (800) 588-2539 |
Mrs. Brooke Christine Conrad, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 319 E Deinhard Ln, Mccall, ID 83638 Phone: 208-634-8517 Fax: 208-292-2817 | |
Heidi Jo Wyman, DPT, OCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 409 S 3rd St, Mccall, ID 83638 Phone: 208-634-8517 | |
Ms. Ingrid A Burica, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 305 E Park St, Mccall, ID 83638 Phone: 208-634-3555 | |
Pro-active Physical Therapy Of Mccall, Pa Physical Therapist Medicare: Medicare Enrolled Practice Location: 319 Deinhard Ln, Mccall, ID 83638 Phone: 208-634-8517 Fax: 208-292-2817 | |
Summer Dawn Skee, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 411a Deinhard Ln, Mccall, ID 83638 Phone: 208-634-8517 Fax: 208-634-5763 | |
Donald J Sanda, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1010 State St., Mccall, ID 83638 Phone: 208-634-5909 Fax: 208-634-5956 | |
David Ryan York, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 411a Deinhard Ln, Mccall, ID 83638 Phone: 208-634-8517 Fax: 208-634-5763 |