MERIDIAN MAMA'S PHYSICAL THERAPY (NPI# 1376150581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376150581 |
| Entity Type | Organization |
| Organization Name | MERIDIAN MAMA'S PHYSICAL THERAPY |
| Practice Address |
309 W Emma Ave Coeur D Alene ID 83814-2522 |
| Mailing Address |
1120 Forest Ave Pmb 215 Pacific Grove CA 93950 |
| Practice Telephone | 3523029517 |
| Mailing Telephone | 3523029517 |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2020-09-30 |
| Authorized Official Name | DR. CHRISTINE ELIZABETH HUXLEY (PHYSICAL THERAPIST) |
| Authorized Official Telephone | 3523029517 |
| Authorized Official Credential | PT, 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 |
309 W EMMA AVE |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83814-2522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162675 | Dehra Mcfaddan | Social Worker | 211 E. Coeur D'alene Ave, 102, Coeur D Alene, ID 83814 | 2020-07-24 |
| 1043838634 | Yendi Labelle | Nurse Practitioner | 1115 N Ironwood Drive, Coeur D'alene, ID 83814 | 2020-07-09 |
| 1295353217 | Cultivation, LLC | Counselor | 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 | 2020-07-07 |
| 1306487517 | Northwest Integrated Health, LLP | Clinic/Center | 1250 West N. Northwood Center Ct, Suite B, Coeur D'alene, ID 83814 | 2019-09-30 |
| 1730740465 | Connor Williams | Physical Therapist | 1812 W Lakewood Dr, Ste. 100, Coeur D Alene, ID 83814 | 2019-06-24 |
| 1912480153 | Nadine M Lewis | Social Worker | 211 E. Coeur D'alene Ave., Coeur D'alene, ID 83814 | 2018-09-13 |
| 1992208631 | Orthopedic Surgery and Sports | Orthopaedic Surgery | 1812 N Lakewood Drive, Suite 100, Coeur D'alene, ID 83814 | 2018-03-08 |
| 1346758042 | Heather Marie Johnson | Counselor | 7905 Meadowlark Way, Cda, ID 83814 | 2018-01-16 |
| 1881113413 | Brevity Treatment Services | Counselor | 2201 N. Government Way Ste. L, Coeur D'alene, ID 83814 | 2017-09-14 |
| 1366969628 | Jennifer La Gina Highfield | Massage Therapist | 1104 N Ste B, Coeur D Alene, ID 83814 | 2017-08-28 |
| Find all providers in zip 83814 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225676372 | Mike Dusbabek Physical Therapy, Pllc | Clinic/Center | 609 S Dollar St, Coeur D Alene, ID 83814-3828 | 2019-12-19 |
| 1336604958 | Taylor Mobile Therapy, LLC | Clinic/Center | 5925 W Riverview Dr, Coeur D Alene, ID 83814-7705 | 2019-02-07 |
| 1215461793 | Elite Sports and Orthopedic Physical Therapy LLC | Clinic/Center | 852 W Kathleen Ave, Coeur D Alene, ID 83815-9405 | 2017-04-12 |
| 1144494105 | Jump Start Pediatric Therapy, LLC | Clinic/Center | 411 W Haycraft Ave, Ste B3, Coeur D Alene, ID 83815-8105 | 2008-04-21 |
| 1912039983 | Physiotherapy Associates | Clinic/Center | 2190 Ironwood Pl, Suite B, Coeur D Alene, ID 83814-2610 | 2007-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033726880 | Moscow Physical Therapy, LLC | Clinic/Center | 1174 Alturas Drive, Suite 2, Moscow, ID 83843 | 2020-09-25 |
| 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 |
| 1922665934 | Dahle Physical Therapy, Pllc | Clinic/Center | 812 Shoup St., Salmon, ID 83467-4305 | 2019-05-24 |
| 1598222713 | Salmon Speech and Swallowing Service | Clinic/Center | 700 Riverfront Dr Rm 1, Salmon, ID 83467-5190 | 2019-02-24 |
| 1134625338 | Idaho Falls Hand Therapy Limited Partnership | Clinic/Center | 564 S Woodruff Avenue, Idaho Falls, ID 83401 | 2018-04-05 |
| 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 |
| 1215381181 | Specialized Physical Therapy Pllc | Clinic/Center | 4141 Poleline Rd Ste A, Pocatello, ID 83202 | 2016-04-18 |
| 1881938777 | North Star Physical Therapy and Wellness | Clinic/Center | 8944 N. Hess St, Suite B, Hayden, ID 83835 | 2012-11-16 |
| Find all providers with the same taxonomy | ||||
| City | COEUR D ALENE |
| Zip Code | 83814 |
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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.