Jared W Simonson, DPT | |
1601 12th Ave Rd, Suite 101, Nampa, ID 83686 | |
(208) 466-0200 | |
(208) 261-3140 |
Full Name | Jared W Simonson |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 13 Years |
Location | 1601 12th Ave Rd, Nampa, Idaho |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194001297 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT-2903 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Prime Sports Med | 9638587801 | 3 |
Provider Name | Prime Sports Med |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1407354574 PECOS PAC ID: 9638587801 Enrollment ID: O20210428001461 |
Mailing Address | Practice Location Address |
---|---|
Jared W Simonson, DPT 1601 12th Ave Rd, Suite 101, Nampa, ID 83686 Ph: (208) 466-0200 | Jared W Simonson, DPT 1601 12th Ave Rd, Suite 101, Nampa, ID 83686 Ph: (208) 466-0200 |
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 |