Summit Physical Therapy | |
152 N Seneca Springs Way # 110, Star, ID 83669-6037 | |
(208) 995-2913 | |
(208) 995-2659 |
Full Name | Summit Physical Therapy |
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Type | Facility |
Speciality | Physical Therapist |
Location | 152 N Seneca Springs Way # 110, Star, Idaho |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871331702 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
Provider Name | Randy K Langley |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1598852139 PECOS PAC ID: 9436139466 Enrollment ID: I20101011000441 |
Provider Name | Ian David Tracy |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1134643885 PECOS PAC ID: 3173898368 Enrollment ID: I20171016000650 |
Mailing Address | Practice Location Address |
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Summit Physical Therapy 457 S Fitness Pl Ste 100, Eagle, ID 83616-6568 Ph: () - | Summit Physical Therapy 152 N Seneca Springs Way # 110, Star, ID 83669-6037 Ph: (208) 995-2913 |
Mrs. Danielle-noelle D. Wuerfel, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2101 N Cardigan Ave, Star, ID 83669 Phone: 269-277-1224 | |
Krysia Kristine Rousseau, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 704 N Nebula Ct, Star, ID 83669 Phone: 208-703-9824 | |
Mrs. Judianne King Nichols, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 9652 W State Street, Star, ID 83669 Phone: 208-286-0766 Fax: 208-286-0768 | |
Lindsey E. Decloss, M.S.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9652 W State St, Star, ID 83669 Phone: 208-286-0766 | |
Clayton Towner Shaw, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 64 S Star Rd, Star, ID 83669 Phone: 208-268-0089 Fax: 208-488-4248 | |