FITNESS FORWARD PHYSICAL THERAPY PLLC (NPI# 1881100261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881100261 |
| Entity Type | Organization |
| Organization Name | FITNESS FORWARD PHYSICAL THERAPY PLLC |
| Practice Address |
1775 E 17th St Ste D Idaho Falls ID 83404-4902 |
| Practice Telephone | 2082439999 |
| Practice Fax Number | 2082439999 |
| Mailing Telephone | 2082439999 |
| Mailing Fax Number | 2082439999 |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2017-12-20 |
| Authorized Official Name | JON CHRISTOPHER MALLAMS (PTA/OWNER) |
| Authorized Official Telephone | 2084243999 |
| Authorized Official Credential | PTA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | STATE LICENSE | PTA-3754 | 01 |
| Street Address |
1775 E 17TH ST STE D |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404-4902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
| 1427618958 | Eastern Idaho Endodontics | Dentist | 3335 S. Holmes Ave, Idaho Falls, ID 83404 | 2019-06-17 |
| 1942863600 | Muhammad Arslan Khan | Student in an Organized Health Care Education/Training Program | 2860 Channing Way Suite 214, Idaho Falls, ID 83404 | 2019-04-18 |
| 1942771043 | Physician's Choice Cardiology, Pllc | Internal Medicine | 3302 Valencia, Suite 201, Idaho Falls, ID 83404 | 2018-12-16 |
| 1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
| 1083196380 | Hannah Golden | Occupational Therapist | 1460 Elk Creek, Idaho Falls, ID 83404 | 2018-09-04 |
| 1316423049 | Lindsay Sessions | Speech-Language Pathologist | 2210 Niagara St, Idaho Falls, ID 83404 | 2018-07-16 |
| 1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
| 1093237935 | Jason Earl Bailey | Contractor | 3100 S Woodruff Ave., Idaho Falls, ID 83404 | 2017-07-12 |
| 1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
| Find all providers in zip 83404 | ||||
| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386013373 | Raymond Wayne | Physical Therapy Assistant | 3054 Sandstone Dr, Idaho Falls, ID 83404-6824 | 2015-09-19 |
| 1982976767 | Breanna L Kump | Physical Therapy Assistant | 993 Grassland Dr, Idaho Falls, ID 83404-8350 | 2012-02-08 |
| 1417578519 | Tailer Paige Fowler | Physical Therapy Assistant | 3111 Channing Way, Idaho Falls, ID 83404-7534 | 2020-04-29 |
| 1144784349 | Jamie Lyn Seeley | Physical Therapy Assistant | 3111 Channing Way, Idaho Falls, ID 83404-7534 | 2019-01-22 |
| 1538676234 | Shelby Ann Mason | Physical Therapy Assistant | 3111 Channing Way, Idaho Falls, ID 83404-7534 | 2018-01-03 |
| 1588173959 | Heather Michele Smith | Physical Therapy Assistant | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 | 2017-09-28 |
| 1427572791 | Kassandra Noelle Stine | Physical Therapy Assistant | 3111 Channing Way, Idaho Falls, ID 83404-7534 | 2017-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528665304 | Mara Danielle Bonawitz | Physical Therapy Assistant | 420 Pheasant Rd, Twin Falls, ID 83301-8728 | 2020-10-05 |
| 1265046684 | Jennifer Anderson | Physical Therapy Assistant | 5900 N Brook Pl, Garden City, ID 83714-1724 | 2020-09-02 |
| 1770106502 | Ellen Ferrenburg | Physical Therapy Assistant | 64 S Star Rd, Star, ID 83669-5497 | 2020-05-27 |
| 1811523145 | Kimberly Jean Larsen | Physical Therapy Assistant | 3251 N Summerbrook Pl, Meridian, ID 83646-5581 | 2020-03-18 |
| 1023656618 | Lisa Camille Dialogue | Physical Therapy Assistant | 6074 N Discovery Way Ste 110, Boise, ID 83713-0210 | 2019-12-15 |
| 1497306831 | Britany Jennifer Cunningham | Physical Therapy Assistant | 222 E Elm St, Caldwell, ID 83605-4815 | 2019-09-26 |
| 1922665553 | Kristina Kay Hill | Physical Therapy Assistant | 932 Starlight Loop, Twin Falls, ID 83301-5181 | 2019-05-20 |
| 1275197667 | Jason Detwiler | Physical Therapy Assistant | 2411 S Essex Way, Boise, ID 83709-2304 | 2019-05-01 |
| 1073071692 | Eric R Cutlip | Physical Therapy Assistant | 104 W Ash St, Genesee, ID 83832-8709 | 2019-03-04 |
| 1720586209 | Bree Anne Mackenzie | Physical Therapy Assistant | 382 Partridge Ln, Rexburg, ID 83440-3593 | 2018-01-30 |
| Find all providers with the same taxonomy | ||||
| City | IDAHO FALLS |
| Zip Code | 83404 |
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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.