| Performance Therapy, Llc | |
|
3125 Valencia Dr, Idaho Falls, ID 83404-7575 | |
| (208) 529-3332 | |
| Not Available |
| Full Name | Performance Therapy, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 3125 Valencia Dr, Idaho Falls, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427375724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT-954 (Idaho) | Primary |
| 335E00000X | Prosthetic/orthotic Supplier | DME14657 (Idaho) | Secondary |
| Provider Name | Stephanie Liddle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942489794 PECOS PAC ID: 8325179542 Enrollment ID: I20100701000245 |
| Provider Name | Molly Grace Ruffner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245904721 PECOS PAC ID: 9537565619 Enrollment ID: I20210915002446 |
| Provider Name | Joshua Yocum |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063409092 PECOS PAC ID: 0244473296 Enrollment ID: I20231221000234 |
| Provider Name | Grace Germaine Crook |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053185413 PECOS PAC ID: 0547610859 Enrollment ID: I20231228003957 |
| Mailing Address | Practice Location Address |
|---|---|
| Performance Therapy, Llc 1940 S Bonito Way Ste 190, Meridian, ID 83642-5618 Ph: (208) 287-9420 | Performance Therapy, Llc 3125 Valencia Dr, Idaho Falls, ID 83404-7575 Ph: (208) 529-3332 |
Bryant Belnap Pa Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3345 Merlin Dr, Suite 100, Idaho Falls, ID 83404 Phone: 120-852-2448 Fax: 120-852-2613 | |
Dr. Jeremy L Jones, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2640 Channing Way, Idaho Falls, ID 83404 Phone: 208-552-2248 Fax: 208-552-2463 | |
Tahi Physical Therapy Pllc Physical Therapist Medicare: Medicare Enrolled Practice Location: 3345 Merlin Dr Ste 100, Idaho Falls, ID 83404 Phone: 208-522-4481 Fax: 208-522-6136 | |
Sharon Sampson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5412 S House Rock Cir, Idaho Falls, ID 83406 Phone: 208-552-0226 Fax: 208-247-7777 | |
Dayne Shaw, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1460 Elk Creek Dr, Idaho Falls, ID 83404 Phone: 208-535-1286 | |
Grace G Crook, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3125 Valencia Dr, Idaho Falls, ID 83404 Phone: 208-529-3332 | |
Teton Physical Therapy, Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 2037 E 17th St, Idaho Falls, ID 83404 Phone: 208-529-3355 Fax: 208-529-9581 |