Kaleidoscope Pediatric Therapy Llc

LBN: Kaleidoscope Pediatric Therapy Llc
Kaleidoscope Pediatric Therapy Llc is an health care organization with primary practice located at 7211 W Franklin Rd , Boise ID 83709-0926. The organization recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is the primary health care specialty. Kaleidoscope Pediatric Therapy Llc can be contacted via phone (208) 375-4200, or through Rowe, Katie via phone (208) 375-4200.

Contact Information

Primary practice address
7211 W Franklin Rd Boise ID 83709-0926
Phone: (208) 375-4200
Fax: (208) 375-4201
Website:
Map and Directions
Authorized official contact:
Name: Rowe, Katie PT, DPT
Phone: (208) 375-4200

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT-1860 Idaho
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT-709 Idaho
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP-1992 Idaho

Profile Details

NPI number 1154693364
LBN Legal business name Kaleidoscope Pediatric Therapy Llc
DBA Doing business as
Authorized official Rowe, Katie PT, DPT
Entity Organization
Organization subpart 1 No
Enumeration date Feb 2nd, 2012
Last updated Feb 1st, 2023 - about 3 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 1154693364 NPPES
Idaho MEDICAID 1881962538
Idaho MEDICAID 1124199443
Idaho MEDICAID 1083876916

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