Sophia M Garrett, DPT | |
265 E Chubbuck Rd Ste A, Chubbuck, ID 83202-5055 | |
(208) 417-0011 | |
(888) 437-2431 |
Full Name | Sophia M Garrett |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 4 Years |
Location | 265 E Chubbuck Rd Ste A, Chubbuck, Idaho |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124639653 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT-6682 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Custom Rehab Llc | 4385811454 | 3 |
Provider Name | Custom Rehab Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1215204862 PECOS PAC ID: 4385811454 Enrollment ID: O20120113000317 |
Mailing Address | Practice Location Address |
---|---|
Sophia M Garrett, DPT 265 E Chubbuck Rd Ste A, Chubbuck, ID 83202-5055 Ph: (208) 417-0011 | Sophia M Garrett, DPT 265 E Chubbuck Rd Ste A, Chubbuck, ID 83202-5055 Ph: (208) 417-0011 |
Derrick Northrup, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 605 Taylor Ln, Chubbuck, ID 83202 Phone: 208-221-6952 Fax: 844-946-0909 | |
Flicker Physical Therapy Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 4922 Yellowstone Ave Ste J, Chubbuck, ID 83202 Phone: 208-237-1882 Fax: 208-904-2990 | |
Dr. Timothy Andrew Flicker, MPT, DPT, CSCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4922 Yellowstone Ave Ste J, Chubbuck, ID 83202 Phone: 208-237-1882 | |
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