TRI-CITY PHYSICAL THERAPY, P.C. (NPI# 1093864282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093864282 |
| Entity Type | Organization |
| Organization Name | TRI-CITY PHYSICAL THERAPY, P.C. |
| Other Organization Name | TIR-CITY PHYSICAL THERAPY |
| Practice Address |
215 N. Whitley Drive Suite 1 Fruitland ID 83619-2706 |
| Practice Telephone | 2084526366 |
| Practice Fax Number | 2084526399 |
| Mailing Telephone | 2084526366 |
| Mailing Fax Number | 2084526399 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2013-05-21 |
| Authorized Official Name | MR. CODY DEE STEPHENS (OWNER/PRESIDENT) |
| Authorized Official Telephone | 2084526366 |
| Authorized Official Credential | P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | RPT550 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 806639200 | 05 |
| Other Name | Type Code |
|---|---|
| Tir-City Physical Therapy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477573756 | Tri-city Physical Therapy, P.C. | Physical Therapist | 275 E 7th St, Weiser, ID 83672-2303 | 2006-07-20 |
| Street Address |
215 N. WHITLEY DRIVE SUITE 1 |
| City | FRUITLAND |
| State | ID |
| Zip Code | 83619-2706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992322382 | Dallin Scott Wilkes | Physical Therapist | 2175 N Whitley Dr., Fruitland, ID 83619 | 2020-07-01 |
| 1659925113 | Treasure Valley Classical Academy | Local Education Agency (LEA) | 500 Sw 3rd Street, Fruitland, ID 83619 | 2019-08-01 |
| 1083146559 | Total Renal Care, Inc. | Clinic/Center | 815 Nw 13th St, Fruitland, ID 83619 | 2017-04-03 |
| 1154563948 | Becky Jean Wolery | Social Worker | 910 Nw 16th St Ste 101, Fruitland, ID 83619 | 2009-03-25 |
| 1740426196 | John Wesley Linhart | Physical Therapist | 1116 Nw 16th Street, Fruitland, ID 83619 | 2009-01-06 |
| 1528263670 | Snake River Dermatology, Pa | Dermatology | 1611 N Whitley Dr, #7, Fruitland, ID 83619 | 2007-06-19 |
| 1568591204 | John Linton Close | Registered Nurse | 1509 N Whitley Drive, Suite 5, Fruitland, ID 83619 | 2007-03-05 |
| 1629110671 | Payette School Dist #373 | Local Education Agency (LEA) | 303 Sw 3rd Street, Fruitland, ID 83619 | 2007-02-13 |
| 1912075839 | William Frederick Martsch | Dentist | 315 N. Whitley, Fruitland, ID 83619 | 2006-11-30 |
| 1992880132 | Ryan David Hillam | Dentist | 1820 N.whitley Drive, Fruitland, ID 83619 | 2006-10-26 |
| Find all providers in zip 83619 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174598593 | Cody D. Stephens | Specialist | 215 N Whitley Dr, Suite 1, Fruitland, ID 83619-2705 | 2006-02-20 |
| 1942248596 | Craig L Hamann | Specialist | 215 N Whitley Dr, Suite 1, Fruitland, ID 83619-2705 | 2006-06-04 |
| 1982679304 | Kevin Brett Nattress | Specialist | 215 N Whitley Dr, Suite 1, Fruitland, ID 83619-2705 | 2006-02-20 |
| 1245205665 | Janeil M Heaton | Specialist | 215 N Whitley Dr, Suite 1, Fruitland, ID 83619-2705 | 2006-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528684370 | The Unruly Tongue Myofunctional Therapy LLC | Specialist | 1125 Nw Bluegrass Cir, Mountain Home, ID 83647 | 2020-06-17 |
| 1306462197 | Two Rivers Myofunctional Therapy LLC | Specialist | 635 W Cedar Pointe Way, Nampa, ID 83686-5582 | 2020-06-17 |
| 1851855803 | Lauren Rybarczyk | Specialist | 11498 W Carmichael Dr, Boise, ID 83709-7382 | 2019-01-24 |
| 1376050997 | Kelly Collins | Specialist | 3923 S 10th Ave, Caldwell, ID 83605-6762 | 2018-01-04 |
| 1033621826 | Amanda Lachelle Pereira | Specialist | 3797 N 3550 E, Kimberly, ID 83341-5093 | 2017-11-01 |
| 1720523855 | North Idaho Surgical Assistant Association Pllc | Specialist | 9547 N Finucane Dr, Hayden, ID 83835-9057 | 2016-12-28 |
| 1033653639 | Samuel Tepper | Specialist | 207 Thain Rd, Lewiston, ID 83501-4829 | 2016-12-15 |
| 1851834311 | Tegan Shuman | Specialist | 7307 W San Fernando Dr, Boise, ID 83704-5953 | 2016-11-30 |
| 1134580525 | Amy Berasi | Specialist | 201 Pole Line Rd, Salmon, ID 83467 | 2016-03-11 |
| 1427416155 | Melodie Nicole Clapp | Specialist | 402 Jasper Ave., Notus, ID 83656-0075 | 2016-02-09 |
| Find all providers with the same taxonomy | ||||
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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.