Preferred Pt Cherry Lane

LBN: Advanced Pt Llc
Preferred Pt Cherry Lane is an health care organization with primary practice located at 1640 W Cherry Ln Ste 120, Meridian ID 83642-8187. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Advanced Pt Llc can be contacted via phone (208) 855-2099, or through Todd, David C via phone (316) 260-6869.

Contact Information

Primary practice address
1640 W Cherry Ln Ste 120 Meridian ID 83642-8187
Phone: (208) 855-2099
Fax: (208) 855-2155
Website:
Map and Directions
Authorized official contact:
Name: Todd, David C Physical Therapist (PT)
Phone: (316) 260-6869

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1104991702
LBN Legal business name Advanced Pt Llc
DBA Doing business as Preferred Pt Cherry Lane
Authorized official Todd, David C Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 21st, 2006
Last updated Feb 19th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104991702 NPPES
Idaho Other DG5887 RETIRED RAILROAD MEDICARE

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