Primary Therapy Source, Llc | |
254 River Vista Pl, Twin Falls, ID 83301 | |
(208) 734-7333 | |
(208) 734-8350 |
Full Name | Primary Therapy Source, Llc |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 254 River Vista Pl, Twin 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 |
---|---|---|---|
1912027343 | NPI | - | NPPES |
Provider Name | Elizabeth Jo Johnson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1891784245 PECOS PAC ID: 8022058619 Enrollment ID: I20050503000818 |
Provider Name | Teresa L Prine |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1922128701 PECOS PAC ID: 0244325942 Enrollment ID: I20070926001120 |
Provider Name | Jaclyn Dux Price |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1083808224 PECOS PAC ID: 1557458981 Enrollment ID: I20071101000648 |
Provider Name | Amanda Ovitt Lee |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1508025230 PECOS PAC ID: 3274606629 Enrollment ID: I20080718000366 |
Provider Name | Trisha Fetzer- Howard |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1689982845 PECOS PAC ID: 2961689179 Enrollment ID: I20110615000257 |
Provider Name | Jeannene Maxfield |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1760770325 PECOS PAC ID: 1153590567 Enrollment ID: I20110922000651 |
Provider Name | Tara Ann Toone |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1326351198 PECOS PAC ID: 0547433070 Enrollment ID: I20111028000500 |
Provider Name | Joel Vinson |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1053693838 PECOS PAC ID: 8628242492 Enrollment ID: I20111114000790 |
Provider Name | Julie Whitehead |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1760786669 PECOS PAC ID: 6002080280 Enrollment ID: I20111128000578 |
Provider Name | Terry Darrington |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1881032076 PECOS PAC ID: 6608016175 Enrollment ID: I20130703000448 |
Provider Name | Natalie L Harris |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1235568908 PECOS PAC ID: 6406070788 Enrollment ID: I20140605001869 |
Provider Name | Kristen Magalogo |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1114334232 PECOS PAC ID: 0244457794 Enrollment ID: I20140807000802 |
Provider Name | Daniel Carnley |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1689083289 PECOS PAC ID: 4981826450 Enrollment ID: I20141118000984 |
Provider Name | Elizabeth Bigelow |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1609243724 PECOS PAC ID: 1153631460 Enrollment ID: I20151116002297 |
Provider Name | Kjersten R Grinde |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1235515594 PECOS PAC ID: 2567779523 Enrollment ID: I20160926000288 |
Provider Name | Levi Joseph Crane |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1437640430 PECOS PAC ID: 5799030797 Enrollment ID: I20180614003058 |
Provider Name | Ross Gardner |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1669944831 PECOS PAC ID: 0345588224 Enrollment ID: I20190219002930 |
Provider Name | Nette Miller |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1518524362 PECOS PAC ID: 7113250515 Enrollment ID: I20190617001674 |
Provider Name | Erika Anne Reynolds |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1578116885 PECOS PAC ID: 2163751652 Enrollment ID: I20190909002585 |
Provider Name | Taylor Staudenmaier |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1700437944 PECOS PAC ID: 2466784913 Enrollment ID: I20191101001137 |
Provider Name | Kyle Vanden Bosch |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1861018467 PECOS PAC ID: 9335561059 Enrollment ID: I20200624003306 |
Provider Name | Serena Laughren |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1033887534 PECOS PAC ID: 0941606438 Enrollment ID: I20210908003670 |
Provider Name | Sarah Friend |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1134887896 PECOS PAC ID: 6800287582 Enrollment ID: I20220107000862 |
Provider Name | Jacob Oakland |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1861138919 PECOS PAC ID: 9234516659 Enrollment ID: I20220524001252 |
Provider Name | Michael Sunderland |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1699405472 PECOS PAC ID: 6800278334 Enrollment ID: I20220801001311 |
Provider Name | Trevor John Warner |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1407142102 PECOS PAC ID: 7012374812 Enrollment ID: I20230609002443 |
Mailing Address | Practice Location Address |
---|---|
Primary Therapy Source, Llc 254 River Vista Pl, Twin Falls, ID 83301 Ph: (208) 734-7333 | Primary Therapy Source, Llc 254 River Vista Pl, Twin Falls, ID 83301 Ph: (208) 734-7333 |
Lifestyles Therapy & Wellness Center Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 276 Eastland Dr N, Twin Falls, ID 83301 Phone: 208-735-8563 Fax: 208-735-8564 | |
Paul G. Ostyn, MPT, MA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 560 Shoup Ave W, Twin Falls, ID 83301 Phone: 208-737-2126 | |
Elizabeth Anne Olorenshaw, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1053 Eastland Dr, Twin Falls, ID 83301 Phone: 208-736-9011 Fax: 208-934-9014 | |
Cody Wheeler, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 801 Pole Line, Twin Falls, ID 83301 Phone: 208-814-2570 | |
Cade Searle, DPT, MS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 754 N College Rd Ste D, Twin Falls, ID 83301 Phone: 208-734-5313 | |
Nikki Sophia Rogers, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 254 River Vista Pl, Twin Falls, ID 83301 Phone: 208-734-7333 | |
Deborah Jan Yingst, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 254 River Vista Pl, Twin Falls, ID 83301 Phone: 208-734-7333 Fax: 208-734-8350 |