| Pro-active Physical Therapy Of Mccall, Pa | |
|
319 Deinhard Ln, Mccall, ID 83638-4703 | |
| (208) 634-8517 | |
| (208) 292-2817 |
| Full Name | Pro-active Physical Therapy Of Mccall, Pa |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 319 Deinhard Ln, Mccall, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295847242 | NPI | - | NPPES |
| 808054300 | Medicaid | ID | |
| 805164900 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Patrick J Zak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649341967 PECOS PAC ID: 0345249454 Enrollment ID: I20100708000809 |
| Provider Name | Anthony G Day |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841553062 PECOS PAC ID: 6305080169 Enrollment ID: I20170517002456 |
| Provider Name | Heidi Jo Wyman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164402327 PECOS PAC ID: 0143467050 Enrollment ID: I20190816002502 |
| Provider Name | Brooke Christine Conrad |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083306526 PECOS PAC ID: 4183082506 Enrollment ID: I20230616001402 |
| Mailing Address | Practice Location Address |
|---|---|
| Pro-active Physical Therapy Of Mccall, Pa P.o. Box 2041, Mccall, ID 83638 Ph: (208) 634-8517 | Pro-active Physical Therapy Of Mccall, Pa 319 Deinhard Ln, Mccall, ID 83638-4703 Ph: (208) 634-8517 |
Mrs. Brooke Christine Conrad, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 319 E Deinhard Ln, Mccall, ID 83638 Phone: 208-634-8517 Fax: 208-292-2817 | |
Heidi Jo Wyman, DPT, OCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 409 S 3rd St, Mccall, ID 83638 Phone: 208-634-8517 | |
Ms. Ingrid A Burica, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 305 E Park St, Mccall, ID 83638 Phone: 208-634-3555 | |
Summer Dawn Skee, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 411a Deinhard Ln, Mccall, ID 83638 Phone: 208-634-8517 Fax: 208-634-5763 | |
Donald J Sanda, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1010 State St., Mccall, ID 83638 Phone: 208-634-5909 Fax: 208-634-5956 | |
David Ryan York, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 411a Deinhard Ln, Mccall, ID 83638 Phone: 208-634-8517 Fax: 208-634-5763 |