TREASURE VALLEY REHABILITATION (NPI# 1235458654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235458654 |
Entity Type | Organization |
Organization Name | TREASURE VALLEY REHABILITATION |
Practice Address |
524 Cleveland Blvd Ste 110 Caldwell ID 83605-4079 |
Mailing Address |
524 E Cleveland Blvd Ste 110 Caldwell ID 83605 |
Practice Telephone | 2086956688 |
Mailing Telephone | 2086956688 |
Enumeration Date | 2010-05-25 |
Last Update Date | 2010-05-25 |
Authorized Official Name | BOYD S RICKS (OWNER, THERAPIST) |
Authorized Official Telephone | 2086956688 |
Authorized Official Credential | OTR/L, DPT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 225X00000X | Occupational Therapist | OT-810 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT-2172 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
524 CLEVELAND BLVD STE 110 |
City | CALDWELL |
State | ID |
Zip Code | 83605-4079 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881940757 | Gina Marie Femino | Physical Therapy Assistant | 524 Cleveland Blvd Ste 110, Caldwell, ID 83605-4079 | 2012-07-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518585660 | Laurie Bernstein | Occupational Therapist | 2205 Sunset Avenue, Caldwell, ID 83605 | 2020-07-06 |
1881249316 | Elevate Academy | Local Education Agency (LEA) | 114 W. Chicago St., Caldwell, ID 83605 | 2019-08-01 |
1669025359 | James Smith | Pharmacist | 2809 E Caldwell Blvd, Caldwell, ID 83605 | 2019-07-22 |
1164910824 | Michelle Stoddard | Physician Assistant | 315 E Elm St Ste 200, Caldwell, ID 83605 | 2018-04-27 |
1215430483 | Amy E Rudolf | Pharmacist | 315 E Elm St Ste 150, Caldwell, ID 83605 | 2018-03-14 |
1871044883 | Kool Ridez LLC | Case Management | 1803 Ellis Ave., Caldwell, ID 83605 | 2016-10-14 |
1932550795 | Chris Torgerson | Social Worker | 3402 Franklin Blvd, Caldwell, ID 83605 | 2016-06-23 |
1609237742 | Peggy A Mcfarland | Counselor | 534 Cleveland Suite 230, Caldwell, ID 83605 | 2016-03-17 |
1720468101 | Devin Douglas Dredge | Emergency Medicine | 1717 Arlington Ave Dept Of, Caldwell, ID 83605 | 2015-06-01 |
1578950168 | Trinidad Bridge | Licensed Practical Nurse | 2909 S. 10th Avenue, Caldwell, ID 83605 | 2015-04-21 |
Find all providers in zip 83605 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912116682 | Rulin J Hawks | Physical Therapist | 1902 S 10th Ave, Caldwell, ID 83605-4841 | 2007-05-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548878341 | Mckenna Briane Young | Physical Therapist | 910 Nw 16th St Ste 200, Fruitland, ID 83619-2265 | 2020-07-17 |
1235750746 | Sol Physiotherapy LLC | Physical Therapist | 804 N Whitley Dr, Fruitland, ID 83619-2437 | 2020-05-06 |
1205307485 | Scoliosis Treatment Center of Idaho | Physical Therapist | 2157 S Pebblecreek Ln, Boise, ID 83706-6123 | 2018-12-16 |
1972027431 | Robert Bernard Wendt | Physical Therapist | 904 White Ave, Moscow, ID 83843-3932 | 2017-07-26 |
1588924724 | Kevin Cherry | Physical Therapist | 243 Idaho St., Suite A, Gooding, ID 83330-1258 | 2012-05-22 |
1811107394 | Kathleen Alexander | Physical Therapist | Mail Stop 8045, Pocatello, ID 83209-8045 | 2007-05-23 |
1013137850 | Mark Morgan | Physical Therapist | 221 S River St, Hailey, ID 83333-8436 | 2007-04-26 |
1437210853 | Judith Lee Grucella | Physical Therapist | 4477 Emerald St Ste C125, Boise, ID 83706-2058 | 2006-12-12 |
1598862757 | David Marshal Saelens | Physical Therapist | 3322 N Grand Mill Ln, Coeur D Alene, ID 83814-5689 | 2006-09-20 |
1689770711 | Pro Motion Physical Therapy LLC | Physical Therapist | 1101 N 28th St, Boise, ID 83702-2208 | 2006-09-16 |
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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.