DYNAMIC PHYSICAL THERAPY PLLC (NPI# 1619360245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619360245 |
| Entity Type | Organization |
| Organization Name | DYNAMIC PHYSICAL THERAPY PLLC |
| Practice Address |
1037 21st St Lewiston ID 83501-3415 |
| Mailing Address |
4854 Lindsay Ln Lewiston ID 83501-5095 |
| Practice Telephone | 5093785421 |
| Mailing Telephone | 5093785421 |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2015-03-06 |
| Authorized Official Name | JOHANNA M STREHLE (PHYSICAL THERAPIST) |
| Authorized Official Telephone | 5093785421 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
PT-1861 | ID | Ambulatory Health Care Facilities |
| Street Address |
1037 21ST ST |
| City | LEWISTON |
| State | ID |
| Zip Code | 83501-3415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528101961 | Johanna Mae Strehle | Physical Therapist | 1037 21st St, Lewiston, ID 83501-3415 | 2007-02-15 |
| 1356996391 | Tara Kazemfar | Physical Therapist | 1037 21st St, Lewiston, ID 83501-3415 | 2019-08-06 |
| 1932646841 | Kaytlin Nelson | Physical Therapy Assistant | 1037 21st St, Lewiston, ID 83501-3415 | 2017-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679193759 | Jacqueline M Aldrich | Behavior Technician | 3407 12th Street C, 3407 12th Street C, Lewiston, ID 83501 | 2020-04-20 |
| 1295228054 | Provident Foundation - Wedgewood Terrace LLC | Alzheimer Center (Dementia Center) | 2114 Vineyard Avenue, Lewiston, ID 83501 | 2018-06-07 |
| 1164945325 | Xiaofei Liu | Massage Therapist | 234 Thain Rd, Lewiston, ID 83501 | 2017-07-19 |
| 1467909879 | Sharon Thulon | Registered Nurse | 1118 F Street, Lewiston, ID 83501 | 2016-09-01 |
| 1821459496 | Gem State Endoscopy | Clinic/Center | 3709 14th Street, Lewiston, ID 83501 | 2016-03-10 |
| 1508264995 | Gary L. Grogan | Psychologist | 633 Main Street, B#1, Lewiston, ID 83501 | 2014-12-17 |
| 1003189366 | John Joseph Johnson | Dentist | 3510 12th Street, Suite #600, Lewiston, ID 83501 | 2012-02-17 |
| 1306134077 | Rowena Kathryn Jackson | Counselor | 531 Bryden Avenue, Lewiston, ID 83501 | 2011-07-15 |
| 1912290388 | Staci Leanne Truby | Massage Therapist | 717 'd' Street, Lewiston, ID 83501 | 2011-05-18 |
| 1093040685 | Sharie Ann Uhlorn | Registered Nurse | 1837 Alder Court, Lewiston, ID 83501 | 2009-10-15 |
| Find all providers in zip 83501 | ||||
| Taxonomy Code | 261QR0401X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538514088 | Lyons Physical Therapy | Clinic/Center | 770 S 13th St, Unit 6581, Boise, ID 83707-0002 | 2016-05-03 |
| 1144719204 | Sawtooth Healthcare, Inc. | Clinic/Center | 600 Shanafelt St, Salmon, ID 83467-4261 | 2018-05-04 |
| 1932607363 | Jrt Healthcare, Inc. | Clinic/Center | 2303 Park Ave, Burley, ID 83318-2106 | 2018-01-31 |
| 1215435631 | Valley View Health Services, Inc. | Clinic/Center | 1071 Renee Ave, Pocatello, ID 83201-2508 | 2018-01-31 |
| 1386142727 | Pocatello Health Services, Inc. | Clinic/Center | 527 Memorial Dr, Pocatello, ID 83201-4063 | 2018-01-31 |
| 1164723771 | A Better Life Behavioral Health Services, Inc. | Clinic/Center | 4696 W Overland Rd, 236, Boise, ID 83705-2845 | 2010-11-12 |
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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.