Caribou Physical Therapy P.C. in Ponderay - Physical Therapist
Caribou Physical Therapy P.C. - NPI 1366698003
Caribou Physical Therapy P.C. is a Physical Therapist in Ponderay, Idaho. Caribou Physical Therapy P.C. practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Caribou Physical Therapy P.C. is 1366698003. The last update date is 2012-08-17.
Caribou Physical Therapy P.C.'s current location address is 30336 Highway 200 Ste B, Ponderay, Idaho. You can contact this provider via phone number 2082658333 and fax number 2082631394. The mailing address for Caribou Physical Therapy P.C. is 30336 Highway 200 Ste B, Ponderay, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Caribou Physical Therapy P.C. |
|---|---|
| Address | 30336 Highway 200 Ste B, Ponderay, Idaho |
| Phone Number | 2082658333 |
| Fax Number | 2082631394 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/PRES |
|---|---|
| Authorized Official Name | Lund A. Paula |
| Credentials | MPT |
| Telephone Number | 2082658333 |
NPI Number Detail
| NPI Number | 1366698003 |
|---|---|
| Provider Enumeration Date | 2008-08-13 |
| Last Updated Date | 2012-08-17 |
Provider Mailing Address Detail
| Address | 30336 Highway 200 Ste B |
|---|---|
| City | Ponderay |
| State | Idaho (ID) |
| Post Code | 838529775 |
| Phone Number | 2082658333 |
| Fax Number | 2082631394 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 225100000X |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| TD780 | BLUE CROSS | ||
| 10023365 | ID | BLUE SHIELD | |
| 804274300 | ID | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Caribou Physical Therapy P.C. by the Centers for Medicare & Medicaid Services?
The Caribou Physical Therapy P.C. has been issued the NPI (National Provider Identifier) 1366698003. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Caribou Physical Therapy P.C. is located?
The Caribou Physical Therapy P.C. is situated at the following address: 30336 Highway 200 Ste B, Ponderay, ID, 838529775.
What is Caribou Physical Therapy P.C.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Caribou Physical Therapy P.C. is Physical Therapist, and the taxonomy code that classifies this field of practice is 225100000X.
On what date did Caribou Physical Therapy P.C. receive its 1366698003 assignment from the Centers for Medicare & Medicaid Services?
The Caribou Physical Therapy P.C. was assigned its 1366698003 on 2008-08-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Caribou Physical Therapy P.C. most recently updated or revised?
The information pertaining to Caribou Physical Therapy P.C., including its address, specialty, and other relevant details, was last updated or revised on 2012-08-17.