MEDICAL FITNESS CENTER LLC (NPI# 1972011443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972011443 |
| Entity Type | Organization |
| Organization Name | MEDICAL FITNESS CENTER LLC |
| Practice Address |
1396 E Iron Eagle Dr Ste 100 Eagle ID 83616-6620 |
| Mailing Address |
2315 E Conner St Meridian ID 83646-3681 |
| Practice Telephone | 2088703350 |
| Practice Fax Number | 2088703350 |
| Mailing Telephone | 2088703350 |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2018-03-21 |
| Authorized Official Name | BENJAMIN SHATTO (OWNER) |
| Authorized Official Telephone | 2088703350 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225200000X | Physical Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 225100000X | Physical Therapist | PT1883 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1396 E IRON EAGLE DR STE 100 |
| City | EAGLE |
| State | ID |
| Zip Code | 83616-6620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714049 | Care Medical Housecalls PC | Nurse Practitioner | 2040 E Holgate Ct, Eagle, ID 83616 | 2020-03-06 |
| 1629613823 | Counseling Solutions Center LLC | Marriage & Family Therapist | 2618 East Snocreek, Eagle, ID 83616 | 2019-11-12 |
| 1245726918 | Tracy Lyn Hagadorn | Midwife | 182 State Street, Eagle, ID 83616 | 2018-07-06 |
| 1861922627 | Nicholas A. Stelzner | Counselor | 2419 W. State St. Suite 8, Boise, ID 83616 | 2017-06-14 |
| 1184080210 | Gabriel Guerrero | Dermatology | 323 E Riverside Dr Ste 234, Eagle, ID 83616 | 2016-01-05 |
| 1376940668 | Cecilia Jo Hickam | Dental Hygienist | 1121 E. State Street, Suite - 102-d, Eagle, ID 83616 | 2014-12-02 |
| 1871912634 | Christine E Birch | Psychiatry & Neurology | 1032 S Bridgeway Pl Ste 110, Eagle, ID 83616 | 2014-04-09 |
| 1043552524 | Tori Croshaw | Social Worker | 372 S Eagle Rd Ste 190, Eagle, ID 83616 | 2013-03-21 |
| 1053650010 | Kellie Ann Northam | Nurse Practitioner | 192 West State Street, Eagle, ID 83616 | 2013-02-11 |
| 1437494457 | Mary Beth Roehling | Nurse Practitioner | 2040 E Hologate Ct, Eagle, ID 83616 | 2012-12-03 |
| Find all providers in zip 83616 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) 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 |
|---|---|---|---|---|
| 1609488303 | Spencer Reid Calhoun | Physical Therapist | 2411 E Riverside Dr Apt P308, Eagle, ID 83616-7573 | 2020-08-24 |
| 1891326443 | Patricia Babendure | Physical Therapist | 457 S Fitness Pl Ste 102, Eagle, ID 83616-6568 | 2020-02-03 |
| 1639724271 | Denise Michele Roberts | Physical Therapist | 1142 N Snead Pl, Eagle, ID 83616-6529 | 2019-08-08 |
| 1134606437 | Elise Talboy | Physical Therapist | 516 S Wooddale Pl, Eagle, ID 83616-7713 | 2018-07-19 |
| 1356858609 | Kari Green | Physical Therapist | 12 N Fisher Park Way Ste 100, Eagle, ID 83616-4704 | 2018-01-09 |
| 1922525815 | Susan Robinson | Physical Therapist | 1143 Capitol St, Unit 102b, Eagle, CO 81631 | 2017-08-23 |
| 1366803074 | Pam Padilla | Physical Therapist | 1037 N Echohawk Way, Eagle, ID 83616-5456 | 2016-03-09 |
| 1457746067 | Matthew Candau | Physical Therapist | 450 W State St Ste 270, Eagle, ID 83616-6974 | 2015-03-31 |
| 1245667815 | Jennifer Ann Morrison | Physical Therapist | 588 W Willow Trace Dr, Eagle, ID 83616-5744 | 2013-09-27 |
| 1023394806 | Lauren E Cremonese | Physical Therapist | 110 Mill Road, Eagle, CO 81631 | 2011-10-25 |
| Find all providers in EAGLE | ||||
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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.