Prime Physical Therapy Llc

LBN: Prime Physical Therapy Llc
Prime Physical Therapy Llc is an health care organization with primary practice located at 282 W Bridge St , Blackfoot ID 83221. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Ambulatory Health Care Facilities / Physical Therapy. Ambulatory Health Care Facilities / Physical Therapy is the primary health care specialty. Prime Physical Therapy Llc can be contacted via phone (208) 684-0021, or through Vandyke, Jessica Annelaine via phone (406) 422-6133.

Contact Information

Primary practice address
282 W Bridge St Blackfoot ID 83221
Phone: (208) 684-0021
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Vandyke, Jessica Annelaine DPT
Phone: (406) 422-6133

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X

Profile Details

NPI number 1851051718
LBN Legal business name Prime Physical Therapy Llc
DBA Doing business as
Authorized official Vandyke, Jessica Annelaine DPT
Entity Organization
Organization subpart 1 No
Enumeration date Dec 20th, 2021
Last updated Sep 13th, 2022 - about 4 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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