Physioone

LBN: Physioone
Physioone is an health care organization with primary practice located at 8827 N Government Way Unit 106 , Hayden ID 83835-8231. 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. Physioone can be contacted via phone (208) 758-0484, or through Blackwelder, Tyler J via phone (208) 758-0484.

Contact Information

Primary practice address
8827 N Government Way Unit 106 Hayden ID 83835-8231
Phone: (208) 758-0484
Fax: (208) 485-4781
Website:
Map and Directions
Authorized official contact:
Name: Blackwelder, Tyler J DPT
Phone: (208) 758-0484

Health care specialties

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

Profile Details

NPI number 1659642775
LBN Legal business name Physioone
DBA Doing business as
Authorized official Blackwelder, Tyler J DPT
Entity Organization
Organization subpart 1 No
Enumeration date Jan 20th, 2012
Last updated Sep 21st, 2020 - about 5 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 1659642775 NPPES
Idaho MEDICAID IDTPID008105

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