| Rebecca Bronner, PT | |
|
457 S Fitness Pl Ste 100, Eagle, ID 83616-6568 | |
| (208) 939-3332 | |
| (208) 939-3338 |
| Full Name | Rebecca Bronner |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 457 S Fitness Pl Ste 100, Eagle, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649663428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 00010347 (Washington) | Secondary |
| 225100000X | Physical Therapist | PT-7782 (Idaho) | Primary |
| Provider Name | Rehabauthority Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1730159690 PECOS PAC ID: 1355333931 Enrollment ID: O20040401001711 |
| Provider Name | Eagle Physical Therapy Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1750478327 PECOS PAC ID: 7719967744 Enrollment ID: O20040721001019 |
| Mailing Address | Practice Location Address |
|---|---|
| Rebecca Bronner, PT 457 S Fitness Pl Ste 100, Eagle, ID 83616-6568 Ph: (208) 939-3332 | Rebecca Bronner, PT 457 S Fitness Pl Ste 100, Eagle, ID 83616-6568 Ph: (208) 939-3332 |
Allison Andrews Boldridge, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 77 N Fisher Park Way, Eagle, ID 83616 Phone: 208-297-3039 | |
Serin Kim, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 77 N Fisher Park Way, Eagle, ID 83616 Phone: 208-297-3039 Fax: 208-416-6635 | |
Kathryn L Stednitz, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 21 N Fisher Park Way, Eagle, ID 83616 Phone: 208-514-0670 | |
Christopher Fox, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 645 E State St Ste 101, Eagle, ID 83616 Phone: 208-939-9594 Fax: 208-939-9828 | |
Emily Verheijen, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 507 S Fitness Pl Ste 110, Eagle, ID 83616 Phone: 208-629-1030 Fax: 208-346-7618 | |
Ms. Megan Meduna, MSPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 457 S Fitness Pl Ste 100, Eagle, ID 83616 Phone: 208-939-3332 Fax: 208-939-3338 | |
Elise Talboy, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 516 S Wooddale Pl, Eagle, ID 83616 Phone: 208-477-7363 |