Shelley Physical Therapy & Fitness Center in Shelley, ID - Medicare Physical Therapist Provider

Shelley Physical Therapy & Fitness Center is a medicare enrolled "Physical Therapist" provider in Shelley, Idaho. Their current practice location is 186 W Pine St, Shelley, Idaho. You can reach out to their office (for appointments etc.) via phone at (208) 680-4787.

Shelley Physical Therapy & Fitness Center is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Shelley Physical Therapy & Fitness Center is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1063126209.

Contact Information

	Shelley Physical Therapy & Fitness Center
	186 W Pine St, Shelley, ID 83274-1235
	(208) 680-4787
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shelley Physical Therapy & Fitness Center
Type	Facility
Speciality	Physical Therapist
Location	186 W Pine St, Shelley, Idaho
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063126209
Provider Enumeration Date: 01/12/2023
Last Update Date: 02/06/2023

Medicare PECOS Information:

PECOS PAC ID: 9133593106
Enrollment ID: O20230808000125

Medical Identifiers

Medical identifiers for Shelley Physical Therapy & Fitness Center such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063126209	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Shelley Physical Therapy & Fitness Center acts as a billing entity for following providers:

Provider Name	Joel Cruz
Provider Type	Practitioner - Physical Therapist In Private Practice
Provider Identifiers	NPI Number: 1003382276 PECOS PAC ID: 0648673897 Enrollment ID: I20210726001401

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shelley Physical Therapy & Fitness Center is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Shelley Physical Therapy & Fitness Center 400 Grant St, Blackfoot, ID 83221-2119 Ph: (208) 680-4787	Shelley Physical Therapy & Fitness Center 186 W Pine St, Shelley, ID 83274-1235 Ph: (208) 680-4787

Reviews and Comments

Physical Therapist in Shelley, ID

Matthew John Ricci, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 299 Anderson Rd, Shelley, ID 83274 Phone: 208-782-4744 Fax: 208-906-1554
Joshua Darwin Bischoff, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 299 Anderson Rd, Shelley, ID 83274 Phone: 208-782-4744 Fax: 208-906-1554
Deidra Nichols, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 650 N State St, Shelley, ID 83274 Phone: 208-782-4744 Fax: 208-906-1554
Chrystal Dawn Browning, PT, DPT, PCS Physical Therapist Medicare: Medicare Enrolled Practice Location: 650 N State St Ste 5, Shelley, ID 83274 Phone: 208-221-4677 Fax: 208-209-6079
William Arnell, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 650 N State St Ste 1, Shelley, ID 83274 Phone: 208-782-4744
Kolten D Glider, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 299 Anderson Rd, Shelley, ID 83274 Phone: 208-782-4744 Fax: 208-906-1554

Shelley Physical Therapy & Fitness Center - Medicare Physical Therapist in Shelley, ID