| Flicker Physical Therapy Llc | |
|
4922 Yellowstone Ave Ste J, Chubbuck, ID 83202-2360 | |
| (208) 237-1882 | |
| (208) 904-2990 |
| Full Name | Flicker Physical Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 4922 Yellowstone Ave Ste J, Chubbuck, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144504812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Timothy A Flicker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215088059 PECOS PAC ID: 4880875012 Enrollment ID: I20110222000554 |
| Provider Name | Matthew Livermore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285209676 PECOS PAC ID: 3274912068 Enrollment ID: I20220624001985 |
| Mailing Address | Practice Location Address |
|---|---|
| Flicker Physical Therapy Llc 2839 Margo Ln, Pocatello, ID 83201-1961 Ph: (208) 406-2057 | Flicker Physical Therapy Llc 4922 Yellowstone Ave Ste J, Chubbuck, ID 83202-2360 Ph: (208) 237-1882 |
Derrick Northrup, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 605 Taylor Ln, Chubbuck, ID 83202 Phone: 208-221-6952 Fax: 844-946-0909 | |
Sophia M Garrett, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 265 E Chubbuck Rd Ste A, Chubbuck, ID 83202 Phone: 208-417-0011 Fax: 888-437-2431 | |
Dr. Timothy Andrew Flicker, MPT, DPT, CSCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4922 Yellowstone Ave Ste J, Chubbuck, ID 83202 Phone: 208-237-1882 | |
Custom Rehab Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 265 E Chubbuck Rd, Chubbuck, ID 83202 Phone: 208-244-1882 | |
Sarah Ingalls, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4425 Burley Dr, Chubbuck, ID 83202 Phone: 208-637-1100 | |
Hannah's Place Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 240 W Burnside Ave Ste D, Chubbuck, ID 83202 Phone: 208-904-1112 Fax: 866-818-2688 |