River City Physical Therapy | |
1132 E Polston Ave, Post Falls, ID 83854 | |
(208) 777-7800 | |
(208) 777-9209 |
Full Name | River City Physical Therapy |
---|---|
Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 1132 E Polston Ave, Post 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 |
---|---|---|---|
1134149941 | NPI | - | NPPES |
1134149941 | Medicaid | ID | |
185406300 | Other | ID | OWCP |
T9107 | Other | ID | BLUE CROSS OF IDAHO |
350075001 | Other | ID | GROUP HEALTH |
000010026849 | Other | ID | REGENCE BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Provider Name | David W Hillman |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1205916848 PECOS PAC ID: 3274522214 Enrollment ID: I20100908000158 |
Provider Name | Scott Randklev |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1568756716 PECOS PAC ID: 7012187669 Enrollment ID: I20120109000567 |
Provider Name | Brett C Johnson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1578586178 PECOS PAC ID: 1850374604 Enrollment ID: I20140410001285 |
Provider Name | Michael Chang-bae Kim |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1235218371 PECOS PAC ID: 8921057068 Enrollment ID: I20140609000815 |
Provider Name | Benjamin Wardell |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1497104459 PECOS PAC ID: 1153618855 Enrollment ID: I20160923000992 |
Provider Name | Erin Michelle Blakley |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1750871349 PECOS PAC ID: 2062769474 Enrollment ID: I20180717001107 |
Provider Name | Juliana Bartoletti |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1093229163 PECOS PAC ID: 3274891924 Enrollment ID: I20190125001358 |
Provider Name | James M Wolk |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1407447394 PECOS PAC ID: 9436567971 Enrollment ID: I20210421001418 |
Provider Name | John Harrison Clark |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1316682297 PECOS PAC ID: 5991184913 Enrollment ID: I20220622002570 |
Provider Name | Pierce Johnson |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1114662350 PECOS PAC ID: 5193105658 Enrollment ID: I20220630002218 |
Provider Name | Zachary David Hillman |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1467142786 PECOS PAC ID: 6305205006 Enrollment ID: I20230628003131 |
Mailing Address | Practice Location Address |
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River City Physical Therapy 1132 E Polston Ave, Post Falls, ID 83854-6045 Ph: (208) 777-7800 | River City Physical Therapy 1132 E Polston Ave, Post Falls, ID 83854 Ph: (208) 777-7800 |