Eagle Physical Therapy Pa
LBN: Eagle Physical Therapy Pa
Eagle Physical Therapy Pa is an health care organization with primary practice located at 457 S Fitness Pl Suite 100, Eagle ID 83616-6568. 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.
Eagle Physical Therapy Pa can be contacted via phone (208) 939-3332, or through Langley, Randall K via phone (208) 939-3332.
Contact Information
Primary practice address
457 S Fitness Pl Suite 100
Eagle ID 83616-6568
Phone: (208) 939-3332
Fax: (208) 939-3338
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X |
Profile Details
| NPI number | 1750478327 |
|---|---|
| LBN Legal business name | Eagle Physical Therapy Pa |
| DBA Doing business as | |
| Authorized official | Langley, Randall K MPT, OCS |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 6th, 2006 |
| Last updated | Sep 1st, 2009 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750478327 | NPPES |
| Idaho | MEDICAID | 806054600 | |
| Idaho | Other | T9420 | |
| Idaho | Other | DB2265 | |
| Idaho | Other | 000010026792 | |
| Idaho | Other | 332828 |
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