DESTINATIONS PHYSICAL THERAPY (NPI# 1043855505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043855505 |
| Entity Type | Organization |
| Organization Name | DESTINATIONS PHYSICAL THERAPY |
| Practice Address |
12951 W Goldenrod Ave Boise ID 83713-2510 |
| Practice Telephone | 2089600990 |
| Mailing Telephone | 2089600990 |
| Enumeration Date | 2019-11-08 |
| Last Update Date | 2019-11-08 |
| Authorized Official Name | APRIL MORRISON (OWNER) |
| Authorized Official Telephone | 2089499853 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
12951 W GOLDENROD AVE |
| City | BOISE |
| State | ID |
| Zip Code | 83713-2510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417365610 | April Pontz Morrison | Physical Therapist | 12951 W Goldenrod Ave, Boise, ID 83713-2510 | 2014-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265902332 | Kidscare Home Health of Idaho, LLC | Home Health | 1835 Wildwood Street, Boise, ID 83713 | 2018-11-30 |
| 1417463928 | Kimberly Ann Bohrer | Behavioral Analyst | 12053 W Hickory Dr, Boise, ID 83713 | 2017-12-19 |
| 1407371891 | Emir Hadzic | Optometrist | 13239 W. Fernleaf St., Boise, ID 83713 | 2017-08-07 |
| 1518336650 | Alliance Physical Medicine | Nurse Practitioner | 13909 W Wainwright Drive, Boise, ID 83713 | 2015-09-18 |
| 1083038335 | Jan L Rehder | Nurse Practitioner | 13150 W Persimmon Lane, Boise, ID 83713 | 2014-02-06 |
| 1508287061 | Heather N Fox | Physician Assistant | 12273 West Mcmillan Road, Boise, ID 83713 | 2013-12-30 |
| 1659667459 | Jayson Clark | Dentist | 4274 N Eagle Road, Boise, ID 83713 | 2011-06-21 |
| 1043503659 | Steven Anthony Eckhoff | Physician Assistant | 11662 W Arlen St, Boise, ID 83713 | 2011-05-16 |
| 1790923621 | Christie Dudash Flynn | Physician Assistant | 12273 W Mcmillian Road, Boise, ID 83713 | 2009-01-30 |
| 1699930404 | Dennis J. Garpetti, Dds, P.C. | Dentist | 13108 West Persimmon Lane, Boise, ID 83713 | 2008-07-21 |
| Find all providers in zip 83713 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356964449 | Vibrant Physical Therapy & Wellness | Clinic/Center | 1111 S Orchard St Ste 104, Boise, ID 83705-1961 | 2020-05-22 |
| 1477193795 | Zona Physical Therapy | Clinic/Center | 11483 W Fairview Ave, Boise, ID 83713-7940 | 2020-01-15 |
| 1427565845 | Premier Physical Therapy Inc | Clinic/Center | 13967 W Wainwright Dr Ste 104, Boise, ID 83713-2094 | 2018-01-08 |
| 1790294973 | The Pt Next Door | Clinic/Center | 6098 E. Grand Prairie Drive, Boise, ID 83716 | 2017-09-20 |
| 1023381472 | Small Steps Pediatric Therapy, Pllc | Clinic/Center | 6180 W Emerald St, Boise, ID 83704 | 2012-02-15 |
| 1013206002 | Sawtooth Physical Therapy | Clinic/Center | 7979 W Rifleman St Ste 200, Boise, ID 83704-9066 | 2011-03-31 |
| 1144334525 | Intermountain Physical Therapy Limited Partnership | Clinic/Center | 554 Steelhead Way, Suite 162, Boise, ID 83704-8391 | 2006-08-19 |
| 1881180776 | Proximity Telehealth LLC | Clinic/Center | 6098 E Grand Prairie Dr, Boise, ID 83716-4700 | 2018-07-03 |
| 1487142279 | Proximity Physical Therapy LLC | Clinic/Center | 6098 E Grand Prairie Dr, Boise, ID 83716-4700 | 2018-04-26 |
| 1285142323 | Direct Physical Therapy Boise, Pllc | Clinic/Center | 7219 W Potomac Dr, Boise, ID 83704-9182 | 2018-01-10 |
| 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.