Mr Bret A Bastian, DPT | |
1673 W Shoreline Dr, Suite 230, Boise, ID 83702-6750 | |
(208) 343-4700 | |
(208) 343-4706 |
Full Name | Mr Bret A Bastian |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 14 Years |
Location | 1673 W Shoreline Dr, Boise, 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 |
---|---|---|---|
1760798375 | NPI | - | NPPES |
1851457675 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Idaho Physical Rehabilitation Llc | 1850783044 | 3 |
Foothills Physical Therapy Pa | 9931010014 | 26 |
Provider Name | Foothills Physical Therapy Pa |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1851457675 PECOS PAC ID: 9931010014 Enrollment ID: O20050831000096 |
Provider Name | Idaho Physical Rehabilitation Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1588333256 PECOS PAC ID: 1850783044 Enrollment ID: O20220120001182 |
Mailing Address | Practice Location Address |
---|---|
Mr Bret A Bastian, DPT 1618 Millenium Way, Suite 210, Meridian, ID 83642-6439 Ph: (208) 884-4647 | Mr Bret A Bastian, DPT 1673 W Shoreline Dr, Suite 230, Boise, ID 83702-6750 Ph: (208) 343-4700 |
Mrs. Dianne Denise Nelson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1130 Allumbaugh St, Boise, ID 83704 Phone: 208-854-8517 | |
Peter H Kolb, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 901 N Curtis Rd Ste 204, Boise, ID 83706 Phone: 208-367-3315 Fax: 208-367-2674 | |
Melissa Pirtle, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 703 S Americana Blvd, Suite 130, Boise, ID 83702 Phone: 208-706-7530 Fax: 208-706-7531 | |
Kyle Aaron Holbrook, PT, DPT, NCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 600 N Robbins Rd, Boise, ID 83702 Phone: 208-489-4444 | |
Rebecca Wensel, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2138 | |
Bridget Gilbertson, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2931 N Maywood Ave, Boise, ID 83704 Phone: 385-498-1740 | |
Idaho Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1175 E Parkcenter Blvd, Ste 101, Boise, ID 83706 Phone: 208-367-1010 |