| Csrm Llc | |
|
7979 W Rifleman St Ste 200, Boise, ID 83704-9066 | |
| (208) 377-3850 | |
| Not Available |
| Full Name | Csrm Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 7979 W Rifleman St Ste 200, Boise, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669132353 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| Provider Name | Ronald D Miller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952352601 PECOS PAC ID: 7416908827 Enrollment ID: I20050202001044 |
| Provider Name | Theresa M Brynteson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477510204 PECOS PAC ID: 9830292200 Enrollment ID: I20070306000341 |
| Provider Name | Christopher J Seagrave |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821101064 PECOS PAC ID: 2163577149 Enrollment ID: I20090826000666 |
| Provider Name | Steven M Bastian |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669602256 PECOS PAC ID: 9931255130 Enrollment ID: I20120118000428 |
| Provider Name | Krystal Lynn Reyes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477936045 PECOS PAC ID: 7719294255 Enrollment ID: I20150916002521 |
| Provider Name | Tammy L Seagrave |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437141124 PECOS PAC ID: 5698725273 Enrollment ID: I20170130001827 |
| Provider Name | Matthew D Woodruff |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629220918 PECOS PAC ID: 5890046486 Enrollment ID: I20180920001557 |
| Provider Name | Taylor A Cavazos |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952967671 PECOS PAC ID: 1658604129 Enrollment ID: I20190615000222 |
| Provider Name | Evan Anne Gustavsen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932754496 PECOS PAC ID: 8527397918 Enrollment ID: I20190910003291 |
| Provider Name | Kalin W Ashby |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962060780 PECOS PAC ID: 2668702960 Enrollment ID: I20190930002968 |
| Provider Name | Justin M Pittman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669017539 PECOS PAC ID: 6103254263 Enrollment ID: I20200324000976 |
| Provider Name | Bryan M Stednitz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952741571 PECOS PAC ID: 3678708120 Enrollment ID: I20200818000928 |
| Provider Name | Andrew L Jend |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659922656 PECOS PAC ID: 9133553183 Enrollment ID: I20201113001687 |
| Provider Name | Tristen I Keller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144897414 PECOS PAC ID: 0345640827 Enrollment ID: I20210621003234 |
| Provider Name | Conner E Olney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043986151 PECOS PAC ID: 6507262847 Enrollment ID: I20210910002598 |
| Provider Name | Charee Vanorder |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346311701 PECOS PAC ID: 8022408400 Enrollment ID: I20211129000124 |
| Provider Name | Jacob M Berard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306453204 PECOS PAC ID: 0749689867 Enrollment ID: I20220809003332 |
| Provider Name | Joe F Pineda |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922736107 PECOS PAC ID: 0143605618 Enrollment ID: I20220920000772 |
| Provider Name | Nathan J Skotak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639702392 PECOS PAC ID: 6800224999 Enrollment ID: I20230322002282 |
| Provider Name | Andrew Johnathan Young |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871293340 PECOS PAC ID: 6002275633 Enrollment ID: I20230629003090 |
| Provider Name | Carson W Dodd |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538843990 PECOS PAC ID: 5890154074 Enrollment ID: I20230706001642 |
| Provider Name | Grace Y Hwang |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437831450 PECOS PAC ID: 5890159453 Enrollment ID: I20230914002896 |
| Provider Name | Marissa C Mortensen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336925643 PECOS PAC ID: 3173978277 Enrollment ID: I20231010001544 |
| Mailing Address | Practice Location Address |
|---|---|
| Csrm Llc 235 N Flume St, Boise, ID 83712-6318 Ph: () - | Csrm Llc 7979 W Rifleman St Ste 200, Boise, ID 83704-9066 Ph: (208) 377-3850 |
Mrs. Dianne Denise Nelson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1130 Allumbaugh St, Boise, ID 83704 Phone: 208-854-8517 | |
Peter H Kolb, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 901 N Curtis Rd Ste 204, Boise, ID 83706 Phone: 208-367-3315 Fax: 208-367-2674 | |
Melissa Pirtle, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 703 S Americana Blvd, Suite 130, Boise, ID 83702 Phone: 208-706-7530 Fax: 208-706-7531 | |
Kyle Aaron Holbrook, PT, DPT, NCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 600 N Robbins Rd, Boise, ID 83702 Phone: 208-489-4444 | |
Rebecca Wensel, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2138 | |
Bridget Gilbertson, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 703 S Americana Blvd Ste 130, Boise, ID 83702 Phone: 208-706-7530 | |
Idaho Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1175 E Parkcenter Blvd, Ste 101, Boise, ID 83706 Phone: 208-367-1010 |