| Tyler Powell, DPT | |
|
16816 N Marketplace Blvd, Nampa, ID 83687-5140 | |
| (208) 461-9593 | |
| (208) 369-9272 |
| Full Name | Tyler Powell |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 16816 N Marketplace Blvd, Nampa, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073361275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT-9162 (Idaho) | Primary |
| Provider Name | Sawtooth Physical Therapy |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1013206002 PECOS PAC ID: 1759552961 Enrollment ID: O20110920000507 |
| Provider Name | Csrm Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1669132353 PECOS PAC ID: 4789078312 Enrollment ID: O20220224002990 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler Powell, DPT 7979 W Rifleman St Ste 200, Boise, ID 83704-9066 Ph: (208) 377-3850 | Tyler Powell, DPT 16816 N Marketplace Blvd, Nampa, ID 83687-5140 Ph: (208) 461-9593 |
Nathan Ira Allen, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2635 Caldwell Blvd, Ste. B, Nampa, ID 83651 Phone: 208-442-0577 Fax: 208-442-7455 | |
Peter James Rowley, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 337 W Iowa Ave, Nampa, ID 83686 Phone: 208-467-7889 Fax: 208-467-7800 | |
Carmen M Schmidt, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 220 10th Ave S, Nampa, ID 83651 Phone: 208-489-5950 | |
Mr. James Richard Teater, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4300 E Flamingo Ave, Nampa, ID 83687 Phone: 208-205-5059 | |
Derek Matthew Wood, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 172 2nd St S, Nampa, ID 83651 Phone: 208-385-3620 | |