Jeremy T Pettinger (NPI# 1700916087, PAC ID# 5193824993) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
Nation Provider ID (NPI) | 1700916087 |
PAC ID by PECOS | 5193824993 |
Professional Enrollment ID | I20070619000722 |
Full Name | Jeremy T Pettinger |
Organization Legal Name | PHYSICAL THERAPY 180 LLC |
Address |
3919 E Overland Rd Meridian ID 83642-6710 |
Phone Number | 2083437700 |
Gender | M |
Graduation Year | 2002 |
Primary Specialty | PHYSICAL THERAPY |
Group Practice PAC ID | 9830422955 |
Number of Group Practice Members | 8 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
5909 W State St, Boise, ID 83703-3039 | 2083437700 | PHYSICAL THERAPY 180 LLC |
3919 E Overland Rd, Meridian, ID 83642-6710 | 2083437700 | PHYSICAL THERAPY 180 LLC |
Organization Legal Name | PHYSICAL THERAPY 180 LLC |
Physicians | 7 |
Name | Specialty | Organization | Address |
---|---|---|---|
Sebastian Thomas Saur | Physical Therapy | Physical Therapy 180 LLC | 5909 W State St, Boise, ID 83703-3039 |
Shelley Patricia Thomas | Physical Therapy | Physical Therapy 180 LLC | 3919 E Overland Rd, Meridian, ID 83642-6710 |
Julia E Thompson | Physical Therapy | Physical Therapy 180 LLC | 3919 E Overland Rd, Meridian, ID 83642-6710 |
Esther Winn | Physical Therapy | Physical Therapy 180 LLC | 3919 E Overland Rd, Meridian, ID 83642-6710 |
Paula A Kosberg | Physical Therapy | Physical Therapy 180 LLC | 3919 E Overland Rd, Meridian, ID 83642-6710 |
Evan Anne Gustavsen | Physical Therapy | Physical Therapy 180 LLC | 3919 E Overland Rd, Meridian, ID 83642-6710 |
Street Address |
3919 E OVERLAND RD |
City | MERIDIAN |
State | ID |
Zip | 83642-6710 |
Name | Specialty | Organization | Address |
---|---|---|---|
Shelley Patricia Thomas | Physical Therapy | Physical Therapy 180 LLC | 3919 E Overland Rd, Meridian, ID 83642-6710 |
Julia E Thompson | Physical Therapy | Physical Therapy 180 LLC | 3919 E Overland Rd, Meridian, ID 83642-6710 |
Esther Winn | Physical Therapy | Physical Therapy 180 LLC | 3919 E Overland Rd, Meridian, ID 83642-6710 |
Paula A Kosberg | Physical Therapy | Physical Therapy 180 LLC | 3919 E Overland Rd, Meridian, ID 83642-6710 |
Evan Anne Gustavsen | Physical Therapy | Physical Therapy 180 LLC | 3919 E Overland Rd, Meridian, ID 83642-6710 |
Amica Vogler | Physical Therapy | Jill Thompson Physical Therapy Pa | 3919 E Overland Rd, Meridian, ID 83642-6710 |
Jennifer R Thomsen | Physical Therapy | Jill Thompson Physical Therapy Pa | 3919 E Overland Rd, Meridian, ID 83642-6710 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kurt Slonaker | Chiropractic | 3329 W Cherry Ln, Meridian, ID 83642-1119 | |
Katy F Connley | Nurse Practitioner | Saint Alphonsus Regional Medical Center Inc | 3250 W Cherry Ln, Meridian, ID 83642-1120 |
Diana Menchaca | Psychologist, Clinical | 1711 S Millenium Way, Suite 110, Meridian, ID 83642-1504 | |
Virginia P Haviland | Psychologist, Clinical | 1711 S Millennium Way, Suite 110, Meridian, ID 83642-1504 | |
Cheri Thomas | Nurse Practitioner | Alliance Medical Group LLC | 3115 E Florence, Meridian, ID 83642-1586 |
Angela L Hansen | Clinical Social Worker | 403 W Cherry Ln, Finding The Silver Lining, Meridian, ID 83642-1610 | |
Matthew L Jordan | Nurse Practitioner | Vibra Physicians LLC | 2131 S Bonito Way, Meridian, ID 83642-1659 |
Dan J Hendrickson | Pulmonary Disease | Vibra Physicians LLC | 2131 S Bonito Way, Meridian, ID 83642-1659 |
Huiling Qi | Internal Medicine | Vibra Physicians LLC | 2131 S Bonito Way, Meridian, ID 83642-1659 |
Robert E Shumaker | Physician Assistant | Vibra Physicians LLC | 2131 S Bonito Way, Meridian, ID 83642-1659 |
Find all physicians in zip 83642 |
City | MERIDIAN |
Zip Code | 83642 |
Specialty | PHYSICAL THERAPY |
City + Specialty | MERIDIAN + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Jeremy T Pettinger.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.