VIBRANT PHYSICAL THERAPY & WELLNESS (NPI# 1356964449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356964449 |
| Entity Type | Organization |
| Organization Name | VIBRANT PHYSICAL THERAPY & WELLNESS |
| Practice Address |
1111 S Orchard St Ste 104 Boise ID 83705-1961 |
| Mailing Address |
663 Hialeah Dr Eagle ID 83616-4703 |
| Practice Telephone | 8559367768 |
| Mailing Telephone | 2083390951 |
| Enumeration Date | 2020-05-22 |
| Last Update Date | 2020-05-22 |
| Authorized Official Name | DR. HEATHER ANN LOWE (OWNER/PHYSICAL THERAPIST) |
| Authorized Official Telephone | 2083390951 |
| Authorized Official Credential | DPT, ATC, CSCS |
| 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 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 663 Hialeah Dr, Eagle, ID 836164703 | 2083390951 |
| Street Address |
1111 S ORCHARD ST STE 104 |
| City | BOISE |
| State | ID |
| Zip Code | 83705-1961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938779 | Halo Health Services LLC | Community/Behavioral Health | 1111 S Orchard St, Boise, Id 83705, Boise, ID 83705 | 2020-06-29 |
| 1598265860 | Felica Jo Duce | Counselor | 921 S Orchard St Ste 103, Boise, ID 83705 | 2018-02-13 |
| 1215364278 | Erica Zelickowski | Pharmacist | 1653 S Vista Avenue, Boise, ID 83705 | 2013-10-04 |
| 1952655490 | Aida Dizdar-barac | Social Worker | 2273 S. Vista Avenue, Suite 190, Boise, ID 83705 | 2012-11-06 |
| 1033461033 | Julie Marie Meek | Social Worker | 3324 W Elder St, Boise, ID 83705 | 2012-10-15 |
| 1568761112 | Berkeley Fraser | Pharmacist | 3527 S Federal Way Suite 104, Boise, ID 83705 | 2011-03-22 |
| 1922311042 | Amber Vania | Family Medicine | 4971 W. Overland Road, Boise, ID 83705 | 2010-07-18 |
| 1295056836 | Cherise M Wetzel | Social Worker | 1625 S Eagleson Rd, B1, Boise, ID 83705 | 2010-06-17 |
| 1558685305 | Rae Ann Norell | Social Worker | 2273 S. Vista Ave, #190 Treasure Valley Community Counseling Services, Boise, ID 83705 | 2010-03-23 |
| 1164679932 | Oreana Harless | Social Worker | 2550 South Vista Ave, Boise, ID 83705 | 2008-08-25 |
| Find all providers in zip 83705 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1043855505 | Destinations Physical Therapy | Clinic/Center | 12951 W Goldenrod Ave, Boise, ID 83713-2510 | 2019-11-08 |
| 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 | ||||
Please comment or provide details below to improve the information on VIBRANT PHYSICAL THERAPY & WELLNESS.
| 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.