Lake City Physical Therapy P A | |
8238 N Government Way, Hayden, ID 83835-5034 | |
(208) 762-2100 | |
Not Available |
Full Name | Lake City Physical Therapy P A |
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Type | Facility |
Speciality | Physical Therapist |
Location | 8238 N Government Way, Hayden, Idaho |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952521411 | NPI | - | NPPES |
002793000 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | RPT629 (Idaho) | Primary |
Provider Name | Mary A Rogers |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1588689160 PECOS PAC ID: 5395710883 Enrollment ID: I20040828000053 |
Provider Name | Leola E Hall |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1316008220 PECOS PAC ID: 1254419369 Enrollment ID: I20080415000294 |
Provider Name | Linsey A T Cahan |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1578875076 PECOS PAC ID: 7113050006 Enrollment ID: I20100728001288 |
Provider Name | Sheree L Dibiase |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1396813309 PECOS PAC ID: 9032001698 Enrollment ID: I20110323000170 |
Provider Name | Wendy Johnson |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1932415254 PECOS PAC ID: 9830384627 Enrollment ID: I20170824003478 |
Provider Name | Gabrielle A Buch |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1942633953 PECOS PAC ID: 7113151226 Enrollment ID: I20200901001448 |
Provider Name | Holly Lang |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1801455092 PECOS PAC ID: 1658709621 Enrollment ID: I20201207002115 |
Provider Name | Kinzie Marie Munar |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1639528185 PECOS PAC ID: 9133408461 Enrollment ID: I20201211002251 |
Provider Name | Keldyn Lang |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1396297727 PECOS PAC ID: 1759663503 Enrollment ID: I20201221002094 |
Provider Name | Rachel Kebbel |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1992397087 PECOS PAC ID: 9537574751 Enrollment ID: I20210222002686 |
Provider Name | Dora Kaylynn Monson |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1477904266 PECOS PAC ID: 4587950720 Enrollment ID: I20210526002679 |
Provider Name | Melina Nicole Harrington |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1639756620 PECOS PAC ID: 5092119859 Enrollment ID: I20210802002583 |
Provider Name | Savanna Lynn Edson |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1447925680 PECOS PAC ID: 6305242181 Enrollment ID: I20210901004118 |
Provider Name | Mckenna Briane Young |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1548878341 PECOS PAC ID: 3375921174 Enrollment ID: I20220607002831 |
Provider Name | Meggi Grace Serrette |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1548740624 PECOS PAC ID: 9436402781 Enrollment ID: I20221222000834 |
Provider Name | Isabel Grace Schmelzer |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1851002653 PECOS PAC ID: 8426429002 Enrollment ID: I20230118000786 |
Provider Name | Autumn Grove |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1033596747 PECOS PAC ID: 9032569033 Enrollment ID: I20240102003960 |
Mailing Address | Practice Location Address |
---|---|
Lake City Physical Therapy P A 2170 W Ironwood Center Dr, Coeur D Alene, ID 83814-2606 Ph: (208) 667-1988 | Lake City Physical Therapy P A 8238 N Government Way, Hayden, ID 83835-5034 Ph: (208) 762-2100 |
Laura Handyside Steininger, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8382 N Wayne Dr Ste 204, Hayden, ID 83835 Phone: 208-719-9071 Fax: 208-719-9073 | |
Autumn Grove, Physical Therapist Medicare: Medicare Enrolled Practice Location: 8238 N Government Way, Hayden, ID 83835 Phone: 208-762-2100 Fax: 208-762-2101 | |
Erica Lea Chvilicek, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8257 N Cornerstone Dr, Hayden, ID 83835 Phone: 208-762-0881 | |
Jeremy Albert Dye, M.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1172 W Hayden Ave, Hayden, ID 83835 Phone: 208-773-8111 Fax: 208-773-8385 | |
Teri Ann Venera, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8382 N Wayne Dr, Hayden, ID 83835 Phone: 208-758-0484 Fax: 208-485-4781 | |
Adam Michael Borg, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1172 W Hayden Ave, Hayden, ID 83835 Phone: 208-762-3332 Fax: 208-762-4268 | |
Justin Thomas Kane, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1172 W Hayden Ave, Hayden, ID 83835 Phone: 208-762-3332 Fax: 208-762-4268 |