Lake Country Physical Therapy
LBN: Erickson Pt Enterprises Pllc
Lake Country Physical Therapy is an health care organization with primary practice located at 1005 Highway 2 , Sandpoint ID 83864-1702. 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.
Erickson Pt Enterprises Pllc can be contacted via phone (208) 263-1632, or through Benner-Erickson, Shawna E via phone (208) 263-1632.
Contact Information
Primary practice address
1005 Highway 2
Sandpoint ID 83864-1702
Phone: (208) 263-1632
Fax: (208) 255-2066
Website:
Authorized official contact:
Name: Benner-Erickson, Shawna E Master of Physical Therapy (MPT)
Phone: (208) 263-1632
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT-1783 | Idaho |
Profile Details
| NPI number | 1093253940 |
|---|---|
| LBN Legal business name | Erickson Pt Enterprises Pllc |
| DBA Doing business as | Lake Country Physical Therapy |
| Authorized official | Benner-Erickson, Shawna E Master of Physical Therapy (MPT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 10th, 2017 |
| Last updated | Feb 10th, 2017 - about 9 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 | 1093253940 | NPPES |
| Idaho | MEDICAID | 806604100 |
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