Superior Physical Therapy
LBN: Mcdonald Rehab, Pc
Superior Physical Therapy is an health care organization with primary practice located at 1800 Flandro Dr Suite 190, Pocatello ID 83202-4940. The organization recently has 2 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. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty.
Mcdonald Rehab, Pc can be contacted via phone (208) 233-2248, or through Mcdonald, Bart W via phone (208) 233-2248.
Contact Information
Primary practice address
1800 Flandro Dr Suite 190
Pocatello ID 83202-4940
Phone: (208) 233-2248
Fax: (208) 233-0219
Website:
Authorized official contact:
Name: Mcdonald, Bart W Master of Physical Therapy (MPT)
Phone: (208) 233-2248
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT-1555 | Idaho |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT-884 | Idaho |
Profile Details
| NPI number | 1497948509 |
|---|---|
| LBN Legal business name | Mcdonald Rehab, Pc |
| DBA Doing business as | Superior Physical Therapy |
| Authorized official | Mcdonald, Bart W Master of Physical Therapy (MPT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 22nd, 2007 |
| Last updated | Sep 10th, 2015 - about 11 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 | 1497948509 | NPPES |
| Kentucky | Other | 7869690 | AETNA |
| Kentucky | MEDICAID | 807980200 | AETNA |
| Kentucky | Other | P00320548 | AETNA |
| Kentucky | Other | T9345 | AETNA |
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