| Rock And Armor Physical Therapy And Sports Performance, Llc | |
|
535 N Locust Grove Rd Ste 170, Meridian, ID 83642-9020 | |
| (208) 917-2660 | |
| (208) 917-2630 |
| Full Name | Rock And Armor Physical Therapy And Sports Performance, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 535 N Locust Grove Rd Ste 170, Meridian, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689089971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT2867 (Idaho) | Primary |
| Provider Name | Kendrick Tweedt |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1528142007 PECOS PAC ID: 2668495748 Enrollment ID: I20060105000076 |
| Provider Name | Brett J Homstad |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083902878 PECOS PAC ID: 7911176722 Enrollment ID: I20110812000274 |
| Provider Name | Timothy P Williams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871723064 PECOS PAC ID: 9638224413 Enrollment ID: I20130215000230 |
| Provider Name | Lynsey J Wagner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477895498 PECOS PAC ID: 2264670454 Enrollment ID: I20130529000869 |
| Provider Name | Jerrod R Ackerman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487067005 PECOS PAC ID: 2668690827 Enrollment ID: I20140829001081 |
| Provider Name | Christopher Allen Edwards |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336791771 PECOS PAC ID: 8729318449 Enrollment ID: I20190924000470 |
| Provider Name | Kalin W Ashby |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962060780 PECOS PAC ID: 2668702960 Enrollment ID: I20190930002968 |
| Provider Name | Logan Deroin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629624366 PECOS PAC ID: 5193056018 Enrollment ID: I20191008000963 |
| Provider Name | Nathan Todd Lundberg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316512015 PECOS PAC ID: 1456752005 Enrollment ID: I20210702000867 |
| Provider Name | Chad Blair |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1396311627 PECOS PAC ID: 7618375338 Enrollment ID: I20211012000079 |
| Provider Name | Marissa Panko |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609505155 PECOS PAC ID: 7416337019 Enrollment ID: I20220628003897 |
| Provider Name | Kai L Turner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043928971 PECOS PAC ID: 8224408950 Enrollment ID: I20221221001705 |
| Provider Name | Rosemary R Coldsnow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366104994 PECOS PAC ID: 8325438187 Enrollment ID: I20230530002073 |
| Provider Name | Alisse Walker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619661261 PECOS PAC ID: 8921469065 Enrollment ID: I20230804001859 |
| Mailing Address | Practice Location Address |
|---|---|
| Rock And Armor Physical Therapy And Sports Performance, Llc 535 N Locust Grove Rd Ste 170, Meridian, ID 83642-9020 Ph: (208) 917-2660 | Rock And Armor Physical Therapy And Sports Performance, Llc 535 N Locust Grove Rd Ste 170, Meridian, ID 83642-9020 Ph: (208) 917-2660 |
Dr. Kennedy Poplawski Gillespie, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 90 E Ustick Rd Ste 150, Meridian, ID 83646 Phone: 208-895-0715 Fax: 208-895-0746 | |
Mr. Matthew Lyle Walker, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2321 E Gala St, Suite 1, Meridian, ID 83642 Phone: 208-888-4321 Fax: 208-895-8747 | |
Robin Mcgaw Hughes, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 520 S Eagle Rd, Meridian, ID 83642 Phone: 208-381-4757 Fax: 208-706-5538 | |
Jennifer Ellen Eikanger, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 875 S Vanguard Way Ste 110, Meridian, ID 83642 Phone: 208-960-0930 Fax: 208-960-0935 | |
Touchmark At Meadow Lake Village Outpatient Clinic Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4037 E Clocktower Ln, Meridian, ID 83642 Phone: 208-888-2277 Fax: 208-888-9159 | |
Abigail Jorgensen, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 520 S Eagle Rd, Meridian, ID 83642 Phone: 208-706-5000 | |
Kai Lamont Turner, PT, DPT, CSCS Physical Therapist Medicare: Medicare Enrolled Practice Location: 2204 E Lanark St Ste 100, Meridian, ID 83642 Phone: 208-908-7908 Fax: 208-908-7935 |