| Modern Rehab | |
|
745 S Progress Ave, Meridian, ID 83642-5619 | |
| (208) 895-0309 | |
| (208) 895-0311 |
| Full Name | Modern Rehab |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 745 S Progress Ave, 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 |
|---|---|---|---|
| 1790126522 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT 2949 (Idaho) | Primary |
| Provider Name | Galen Danielson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225123599 PECOS PAC ID: 8325937246 Enrollment ID: I20040310001412 |
| Provider Name | Kevin L Hulsey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114012788 PECOS PAC ID: 6002702578 Enrollment ID: I20040313000377 |
| Provider Name | Candace M Richards |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356534218 PECOS PAC ID: 0749375509 Enrollment ID: I20071009000382 |
| Provider Name | Christian A Vanderford |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770747404 PECOS PAC ID: 7618041831 Enrollment ID: I20080806000679 |
| Provider Name | Jamie A Weishaar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871632646 PECOS PAC ID: 1658540083 Enrollment ID: I20110801000760 |
| Provider Name | Paul Vinci |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306169602 PECOS PAC ID: 7719912088 Enrollment ID: I20111213000354 |
| 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 | Trevor Jay Schmidt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659771954 PECOS PAC ID: 0244592509 Enrollment ID: I20180326001812 |
| Provider Name | Dustin James Ray Murphy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568087427 PECOS PAC ID: 2961825245 Enrollment ID: I20200702002249 |
| Provider Name | Jason S Pointer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801934757 PECOS PAC ID: 9739282757 Enrollment ID: I20230328001996 |
| Provider Name | Michelle Holt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750068847 PECOS PAC ID: 8123489200 Enrollment ID: I20230804003645 |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Rehab 1560 S Carol St, Meridian, ID 83646-1839 Ph: (208) 288-1155 | Modern Rehab 745 S Progress Ave, Meridian, ID 83642-5619 Ph: (208) 895-0309 |
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 |