| Physioone | |
|
8827 N Government Way Unit 106, Hayden, ID 83835-8231 | |
| (208) 758-0484 | |
| (208) 485-4781 |
| Full Name | Physioone |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 8827 N Government Way Unit 106, 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 |
|---|---|---|---|
| 1659642775 | NPI | - | NPPES |
| IDTPID008105 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Tyler J Blackwelder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346421021 PECOS PAC ID: 5799835807 Enrollment ID: I20090611000435 |
| Provider Name | Caleb Jerome Foss |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669812301 PECOS PAC ID: 7315173150 Enrollment ID: I20180516000707 |
| Mailing Address | Practice Location Address |
|---|---|
| Physioone Po Box 2834, Hayden, ID 83835-2834 Ph: (208) 818-9263 | Physioone 8827 N Government Way Unit 106, Hayden, ID 83835-8231 Ph: (208) 758-0484 |
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 |