| Idaho Spine And Sports Physical Therapy - Silverstone | |
|
2316 S Eagle Rd, Meridian, ID 83642-2665 | |
| (208) 286-2707 | |
| (208) 286-2743 |
| Full Name | Idaho Spine And Sports Physical Therapy - Silverstone |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 2316 S Eagle Rd, Meridian, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245766518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT-2983 (Idaho) | Primary |
| Provider Name | Jeffrey R. Taylor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346501962 PECOS PAC ID: 3971767120 Enrollment ID: I20120619000623 |
| Provider Name | Kristen M Folger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780052720 PECOS PAC ID: 6608157342 Enrollment ID: I20170111002309 |
| Provider Name | Devyn Dodge |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538458120 PECOS PAC ID: 1658558986 Enrollment ID: I20170424000986 |
| Provider Name | Gunjan D Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861987356 PECOS PAC ID: 8628326154 Enrollment ID: I20180731002771 |
| Provider Name | Julie Doan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508474859 PECOS PAC ID: 2668892647 Enrollment ID: I20201013001016 |
| Provider Name | Ole Christian Borgesen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043413230 PECOS PAC ID: 0648322313 Enrollment ID: I20220603001665 |
| Provider Name | Mariah Kay Boyd |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942754981 PECOS PAC ID: 4082981808 Enrollment ID: I20230929002525 |
| Provider Name | Jason Gramajo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215791280 PECOS PAC ID: 3173968880 Enrollment ID: I20240304001064 |
| Mailing Address | Practice Location Address |
|---|---|
| Idaho Spine And Sports Physical Therapy - Silverstone 2316 S Eagle Rd, Meridian, ID 83642-2665 Ph: (208) 286-2707 | Idaho Spine And Sports Physical Therapy - Silverstone 2316 S Eagle Rd, Meridian, ID 83642-2665 Ph: (208) 286-2707 |
Dr. Kennedy Poplawski Gillespie, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 90 E Ustick Rd Ste 150, Meridian, ID 83646 Phone: 208-895-0715 Fax: 208-895-0746 | |
Mr. Matthew Lyle Walker, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2321 E Gala St, Suite 1, Meridian, ID 83642 Phone: 208-888-4321 Fax: 208-895-8747 | |
Robin Mcgaw Hughes, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 520 S Eagle Rd, Meridian, ID 83642 Phone: 208-381-4757 Fax: 208-706-5538 | |
Jennifer Ellen Eikanger, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 875 S Vanguard Way Ste 110, Meridian, ID 83642 Phone: 208-960-0930 Fax: 208-960-0935 | |
Touchmark At Meadow Lake Village Outpatient Clinic Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4037 E Clocktower Ln, Meridian, ID 83642 Phone: 208-888-2277 Fax: 208-888-9159 | |
Abigail Jorgensen, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 520 S Eagle Rd, Meridian, ID 83642 Phone: 208-706-5000 | |
Kai Lamont Turner, PT, DPT, CSCS Physical Therapist Medicare: Medicare Enrolled Practice Location: 2204 E Lanark St Ste 100, Meridian, ID 83642 Phone: 208-908-7908 Fax: 208-908-7935 |