| Eagle Physical Therapy Pa | |
|
457 S Fitness Pl, Suite 100, Eagle, ID 83616-6568 | |
| (208) 939-3332 | |
| (208) 939-3338 |
| Full Name | Eagle Physical Therapy Pa |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 457 S Fitness Pl, Eagle, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750478327 | NPI | - | NPPES |
| 806054600 | Medicaid | ID | |
| T9420 | Other | BLUE CROSS | |
| DB2265 | Other | RAILROAD MEDICARE | |
| 000010026792 | Other | BLUE SHIELD | |
| 332828 | Other | PRIVATE HEALTHCARE SYSTEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Steven G Yuly |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679669436 PECOS PAC ID: 2961447586 Enrollment ID: I20050623001047 |
| Provider Name | Anthony Peppley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144335860 PECOS PAC ID: 8820029275 Enrollment ID: I20050826000316 |
| Provider Name | Twila R Dover |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538165170 PECOS PAC ID: 7113054826 Enrollment ID: I20100428000401 |
| Provider Name | Sarah Jo Graham |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386758464 PECOS PAC ID: 5698809481 Enrollment ID: I20100816000652 |
| Provider Name | Randall K Langley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598852139 PECOS PAC ID: 9436139466 Enrollment ID: I20101011000441 |
| Provider Name | Jesse Tyler Cook |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700330917 PECOS PAC ID: 8022304641 Enrollment ID: I20160908000985 |
| Provider Name | Ian David Tracy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134643885 PECOS PAC ID: 3173898368 Enrollment ID: I20171016000650 |
| Provider Name | Cynthia Lynn Woodhouse |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407096480 PECOS PAC ID: 1759627342 Enrollment ID: I20190118002063 |
| Provider Name | Sarah Deanna Leddige |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396210530 PECOS PAC ID: 2163755174 Enrollment ID: I20190606001237 |
| Provider Name | Patricia Louanne Babendure |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891326443 PECOS PAC ID: 4981016011 Enrollment ID: I20201215001674 |
| Provider Name | Megan La Greca Meduna |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134443757 PECOS PAC ID: 0244572279 Enrollment ID: I20230609001233 |
| Provider Name | Rebecca Bronner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649663428 PECOS PAC ID: 8426407933 Enrollment ID: I20231208003425 |
| Mailing Address | Practice Location Address |
|---|---|
| Eagle Physical Therapy Pa 457 S Fitness Pl, Suite 100, Eagle, ID 83616-6568 Ph: (208) 939-3332 | Eagle Physical Therapy Pa 457 S Fitness Pl, Suite 100, Eagle, ID 83616-6568 Ph: (208) 939-3332 |
Allison Andrews Boldridge, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 77 N Fisher Park Way, Eagle, ID 83616 Phone: 208-297-3039 | |
Serin Kim, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 77 N Fisher Park Way, Eagle, ID 83616 Phone: 208-297-3039 Fax: 208-416-6635 | |
Cameron Daron, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 645 E State St, Eagle, ID 83616 Phone: 208-939-9594 | |
Kathryn L Stednitz, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 21 N Fisher Park Way, Eagle, ID 83616 Phone: 208-514-0670 | |
Christopher Fox, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 645 E State St Ste 101, Eagle, ID 83616 Phone: 208-939-9594 Fax: 208-939-9828 | |
Ryan Heilman, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 457 S Fitness Pl Ste 100, Eagle, ID 83616 Phone: 208-939-3332 Fax: 208-939-3338 | |
Emily Verheijen, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 507 S Fitness Pl Ste 110, Eagle, ID 83616 Phone: 208-629-1030 Fax: 208-346-7618 |