Primary Therapy Source, Llc - Medicare Physical Therapist in Twin Falls, ID

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Primary Therapy Source, Llc is a medicare enrolled "Physical Therapist" provider in Twin Falls, Idaho. Their current practice location is 254 River Vista Pl, Twin Falls, Idaho. You can reach out to their office (for appointments etc.) via phone at (208) 734-7333.

Primary Therapy Source, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Primary Therapy Source, Llc 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 1912027343.

Contact Information

Primary Therapy Source, Llc
254 River Vista Pl,
Twin Falls, ID 83301
(208) 734-7333
(208) 734-8350

Map and Direction




Healthcare Provider's Profile

Full NamePrimary Therapy Source, Llc
TypeFacility
SpecialityPhysical Therapist
Location254 River Vista Pl, Twin Falls, Idaho
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1912027343
  • Provider Enumeration Date: 03/30/2007
  • Last Update Date: 11/07/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 7012002702
  • Enrollment ID: O20070926000529

Medical Identifiers

Medical identifiers for Primary Therapy Source, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912027343NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist (* (Not Available))Secondary
235Z00000XSpeech-language Pathologist (* (Not Available))Secondary
225100000XPhysical 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. Primary Therapy Source, Llc acts as a billing entity for following providers:
Provider NameElizabeth Jo Johnson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1891784245
PECOS PAC ID: 8022058619
Enrollment ID: I20050503000818
Provider NameTeresa L Prine
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1922128701
PECOS PAC ID: 0244325942
Enrollment ID: I20070926001120
Provider NameJaclyn Dux Price
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1083808224
PECOS PAC ID: 1557458981
Enrollment ID: I20071101000648
Provider NameAmanda Ovitt Lee
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1508025230
PECOS PAC ID: 3274606629
Enrollment ID: I20080718000366
Provider NameTrisha Fetzer- Howard
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1689982845
PECOS PAC ID: 2961689179
Enrollment ID: I20110615000257
Provider NameJeannene Maxfield
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1760770325
PECOS PAC ID: 1153590567
Enrollment ID: I20110922000651
Provider NameTara Ann Toone
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1326351198
PECOS PAC ID: 0547433070
Enrollment ID: I20111028000500
Provider NameJulie Whitehead
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1760786669
PECOS PAC ID: 6002080280
Enrollment ID: I20111128000578
Provider NameTerry Darrington
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1881032076
PECOS PAC ID: 6608016175
Enrollment ID: I20130703000448
Provider NameNatalie L Harris
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1235568908
PECOS PAC ID: 6406070788
Enrollment ID: I20140605001869
Provider NameKristen Magalogo
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1114334232
PECOS PAC ID: 0244457794
Enrollment ID: I20140807000802
Provider NameDaniel Carnley
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1689083289
PECOS PAC ID: 4981826450
Enrollment ID: I20141118000984
Provider NameElizabeth Bigelow
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1609243724
PECOS PAC ID: 1153631460
Enrollment ID: I20151116002297
Provider NameKjersten R Grinde
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1235515594
PECOS PAC ID: 2567779523
Enrollment ID: I20160926000288
Provider NameRoss Gardner
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1669944831
PECOS PAC ID: 0345588224
Enrollment ID: I20190219002930
Provider NameNette Miller
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1518524362
PECOS PAC ID: 7113250515
Enrollment ID: I20190617001674
Provider NameErika Anne Reynolds
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1578116885
PECOS PAC ID: 2163751652
Enrollment ID: I20190909002585
Provider NameTaylor Staudenmaier
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1700437944
PECOS PAC ID: 2466784913
Enrollment ID: I20191101001137
Provider NameKyle Vanden Bosch
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1861018467
PECOS PAC ID: 9335561059
Enrollment ID: I20200624003306
Provider NameSerena Laughren
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1033887534
PECOS PAC ID: 0941606438
Enrollment ID: I20210908003670
Provider NameSarah Friend
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1134887896
PECOS PAC ID: 6800287582
Enrollment ID: I20220107000862
Provider NameMichael Sunderland
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1699405472
PECOS PAC ID: 6800278334
Enrollment ID: I20220801001311
Provider NameTrevor John Warner
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1407142102
PECOS PAC ID: 7012374812
Enrollment ID: I20230609002443
Provider NameMolly Broe
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1033193255
PECOS PAC ID: 5597783902
Enrollment ID: I20240904003852
Provider NameLeslie Lourenzo
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1437618931
PECOS PAC ID: 3173851094
Enrollment ID: I20241113003787

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. Primary Therapy Source, Llc 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 AddressPractice Location Address
Primary Therapy Source, Llc
254 River Vista Pl,
Twin Falls, ID 83301

Ph: (208) 734-7333		Primary Therapy Source, Llc
254 River Vista Pl,
Twin Falls, ID 83301

Ph: (208) 734-7333

Reviews and Comments


Physical Therapist in Twin Falls, ID

Lifestyles Therapy & Wellness Center Inc.
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 276 Eastland Dr N, Twin Falls, ID 83301
Phone: 208-735-8563    Fax: 208-735-8564
Paul G. Ostyn, MPT, MA
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 560 Shoup Ave W, Twin Falls, ID 83301
Phone: 208-737-2126    
Andrew Isaac Sturgill, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1053 Eastland Dr, Twin Falls, ID 83301
Phone: 208-736-9011    
Elizabeth Anne Olorenshaw, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1053 Eastland Dr, Twin Falls, ID 83301
Phone: 208-736-9011    Fax: 208-934-9014
Cody Wheeler, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 801 Pole Line, Twin Falls, ID 83301
Phone: 208-814-2570    
Cade Searle, DPT, MS
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 754 N College Rd Ste D, Twin Falls, ID 83301
Phone: 208-734-5313    
Nikki Sophia Rogers, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 254 River Vista Pl, Twin Falls, ID 83301
Phone: 208-734-7333    

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