HYDE PHYSICAL THERAPY (NPI# 1700128337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700128337 |
| Entity Type | Organization |
| Organization Name | HYDE PHYSICAL THERAPY |
| Other Organization Name | HYDE ELLIS PHYSICAL THERAPY |
| Practice Address |
725 Jensen Grove Dr Suite 4 Blackfoot ID 83221-1636 |
| Practice Telephone | 2087853462 |
| Practice Fax Number | 2087853453 |
| Mailing Telephone | 2087853462 |
| Mailing Fax Number | 2087853453 |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2013-09-13 |
| Authorized Official Name | JASON R HYDE (PHYSICALS THERAPIST/OWNER) |
| Authorized Official Telephone | 2082276255 |
| Authorized Official Credential | P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PT-1987 | ID | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Hyde Ellis Physical Therapy | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831527225 | Hyde Physical Therapy | Physical Therapist | 725 Jensen Grove Dr, Suite 4, Blackfoot, ID 83221-1636 | 2013-10-22 |
| Street Address |
725 JENSEN GROVE DR SUITE 4 |
| City | BLACKFOOT |
| State | ID |
| Zip Code | 83221-1636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962456681 | Dee Scott Stevens | Chiropractor | 725 Jensen Grove Dr, Blackfoot, ID 83221-1636 | 2006-05-19 |
| 1447792999 | Shae Struhs | Physical Therapist | 725 Jensen Grove Dr, Suite 5, Blackfoot, ID 83221-1636 | 2016-11-15 |
| 1831527225 | Hyde Physical Therapy | Physical Therapist | 725 Jensen Grove Dr, Suite 4, Blackfoot, ID 83221-1636 | 2013-10-22 |
| 1700102662 | Jason Ray Hyde | Physical Therapist | 725 Jensen Grove Dr, Suite 4, Blackfoot, ID 83221-1636 | 2010-04-15 |
| 1518170968 | Portneuf Valley Family Center | Counselor | 725 Jensen Grove Dr, Suite 5, Blackfoot, ID 83221-1636 | 2007-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932711165 | Samantha Paige Averett | Social Worker | 60 N Broadway, Blackfoot, ID 83221 | 2020-08-19 |
| 1730711656 | Sara Marie Letham | Family Medicine | 33 S Thompson Lane, Blackfoot, ID 83221 | 2020-02-08 |
| 1962994962 | Tyler Thomas Wood | Student in an Organized Health Care Education/Training Program | 98 Poplar Street, Blackfoot, Id 83221, Blackfoot, ID 83221 | 2018-06-05 |
| 1801336276 | Bmh, Inc. | Internal Medicine | 235 Poplar St, Blackfoot, ID 83221 | 2017-03-03 |
| 1497119804 | Susan Doran | Social Worker | 720 E. Alice, Blackfoot, ID 83221 | 2016-04-12 |
| 1427412121 | Josie Russell Adkins | Counselor | 720 East Alice, Blackfoot, ID 83221 | 2016-04-08 |
| 1740590314 | Ashley Nichole Thomas | Physician Assistant | 710 E. Alice Street, Blackfoot, ID 83221 | 2010-10-18 |
| 1528373313 | Stephanie Lynn Henderson | Dietitian, Registered | 1555 Vernon Ave, Blackfoot, ID 83221 | 2010-08-17 |
| 1184850141 | Joy H. Taylor | Nurse Practitioner | 1441 Parkway Drive, Blackfoot, ID 83221 | 2009-06-04 |
| 1427232925 | Nathan E. Sneddon | Anesthesiology | 98 Poplar St Fl 3, Blackfoot, ID 83221 | 2007-12-20 |
| Find all providers in zip 83221 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295919439 | Hawker Inc. | Clinic/Center | 285 W Francis St, Blackfoot, ID 83221-1751 | 2007-12-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376150581 | Meridian Mama's Physical Therapy | Clinic/Center | 309 W Emma Ave, Coeur D Alene, ID 83814-2522 | 2020-09-30 |
| 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 |
| 1225676372 | Mike Dusbabek Physical Therapy, Pllc | Clinic/Center | 609 S Dollar St, Coeur D Alene, ID 83814-3828 | 2019-12-19 |
| 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 |
| 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.