| Alpine Physical Therapy Center, P.c. | |
|
31911 N 5th Ave, Spirit Lake, ID 83869 | |
| (208) 623-6717 | |
| (208) 623-4898 |
| Full Name | Alpine Physical Therapy Center, P.c. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 31911 N 5th Ave, Spirit Lake, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528143450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (Idaho) | Primary |
| Provider Name | Gary D Schneider |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750321071 PECOS PAC ID: 0143123752 Enrollment ID: I20070108000385 |
| Provider Name | Deborah E Swider |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740213768 PECOS PAC ID: 3779585344 Enrollment ID: I20070210000126 |
| Provider Name | Adam L Wheeler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508109331 PECOS PAC ID: 6608017512 Enrollment ID: I20130718000368 |
| Mailing Address | Practice Location Address |
|---|---|
| Alpine Physical Therapy Center, P.c. Po Box 3115, Hayden, ID 83835-3115 Ph: (208) 762-0881 | Alpine Physical Therapy Center, P.c. 31911 N 5th Ave, Spirit Lake, ID 83869 Ph: (208) 623-6717 |
Michael Victor Nowack, D.P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6186 W Maine, Spirit Lake, ID 83869 Phone: 208-623-6717 | |
Adam Wheeler, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 31911 N 5th St, Spirit Lake, ID 83869 Phone: 208-623-6717 | |
Jacquelyn Rose Mallet, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6186 W Maine St, Spirit Lake, ID 83869 Phone: 208-449-1596 |