RENEW MANUAL PHYSICAL THERAPY PLLC (NPI# 1013436641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013436641 |
| Entity Type | Organization |
| Organization Name | RENEW MANUAL PHYSICAL THERAPY PLLC |
| Practice Address |
7444 W Saxton Dr # K101 Boise ID 83714-1316 |
| Practice Telephone | (602) 515-6659 |
| Mailing Telephone | 6025156659 |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2018-06-20 |
| Authorized Official Name | DR. BREANN FAYE SUDDOCK FOX (OWNER/THERAPIST) |
| Authorized Official Telephone | 6025156659 |
| Authorized Official Credential | PT, DPT, PRPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT-5245 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
7444 W SAXTON DR # K101 |
| City | BOISE |
| State | ID |
| Zip Code | 83714-1316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932683752 | Ikdo State Street LLC | Dentist | 9209 W State St, Garden City, ID 83714 | 2018-09-18 |
| 1437608007 | Carrie Boroughs Breaux | Ophthalmology | 5019 N Sawyer Ave, Garden City, ID 83714 | 2016-09-23 |
| 1841646007 | Alliance Medical Group, LLC | Family Medicine | 5601 W. Chinden Blvd., Garden City, ID 83714 | 2016-05-06 |
| 1134580467 | Rebecca Gillet | Physical Therapist | 6576 W Dufferin Ct, Boise, ID 83714 | 2016-03-15 |
| 1063816007 | Ingri Suzanne Koloski | Counselor | 8969 West Hepburn Lane, Garden City, ID 83714 | 2014-10-20 |
| 1679909329 | Anile Nina | Counselor | 5484 N Gary Lane, Boise, ID 83714 | 2013-09-25 |
| 1215360292 | William Blake Bybee | Dentist | 5833 W. Hidden Springs Dr., Boise, ID 83714 | 2013-08-14 |
| 1871833327 | Charmaine Read | Social Worker | 123 E. 44th St, Ste. A, Garden City, ID 83714 | 2013-02-20 |
| 1811206576 | Bennett Medical Services | Durable Medical Equipment & Medical Supplies | 5220 Sawyer Court, Suite D, Garden City, ID 83714 | 2010-09-29 |
| 1073780680 | Barry Lynn Williams | Pharmacist | 7020 W State Street, Boise, ID 83714 | 2008-05-13 |
| Find all providers in zip 83714 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124637095 | Rick Charles Loveland | Physical Therapist | 10390 W Sawtail St, Boise, ID 83714-9508 | 2020-07-27 |
| 1558979138 | Chloe Coleman | Physical Therapist | 1961 S Broadway Ave, Boise, ID 83706-4201 | 2020-07-20 |
| 1811512650 | Lauren Olivia Vangorp | Physical Therapist | 5418 N Eagle Rd Ste 170, Boise, ID 83713-0999 | 2020-06-08 |
| 1366089153 | Shelby Mcgibney | Physical Therapist | 1835 Wildwood St, Boise, ID 83713-5146 | 2019-11-29 |
| 1417441270 | James Liaw | Physical Therapist | 1109 W Myrtle St Ste 220, Boise, ID 83702-6975 | 2018-06-15 |
| 1720570997 | Ron Giles | Physical Therapist | 2999 N Lakeharbor Ln Ste 120, Boise, ID 83703-6291 | 2018-06-04 |
| 1841701976 | Pamela Brown | Physical Therapist | 2910 W Hazel St, Boise, ID 83703-5939 | 2017-10-16 |
| 1609391952 | Janice Lynette Fountain | Physical Therapist | 4110 N La Fontana Way, Boise, ID 83702-1559 | 2017-08-08 |
| 1134643885 | Ian David Tracy | Physical Therapist | 1175 E Parkcenter Blvd Ste 104, Boise, ID 83706-6752 | 2017-08-02 |
| 1174051429 | Ian Campbell | Physical Therapist | 2195 W Hill Rd, Boise, ID 83702-0622 | 2017-05-31 |
| Find all providers in BOISE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.