Kids In Motion Physical Therapy, Pc is a medicare enrolled "Specialist" provider in Ponderay, Idaho. Their current practice location is
110 Tibbetts Dr Ste 123, Ponderay, Idaho. You can reach out to their office (for appointments etc.) via phone at
(208) 255-7337.
Kids In Motion Physical Therapy, Pc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Kids In Motion Physical Therapy, Pc
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 1730273137.
Healthcare Provider's Profile
| Full Name | Kids In Motion Physical Therapy, Pc |
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| Type | Facility |
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| Speciality | Specialist |
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| Location | 110 Tibbetts Dr Ste 123, Ponderay, Idaho |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1730273137
- Provider Enumeration Date: 10/03/2006
- Last Update Date: 08/16/2023
Medicare PECOS Information:
- PECOS PAC ID: 2264400597
- Enrollment ID: O20090717000189
Medical Identifiers
Medical identifiers for Kids In Motion Physical Therapy, Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730273137 | NPI | - | NPPES |
| 807409400 | Medicaid | ID | |
| 9974 | Other | ID | BLUE CROSS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 2251P0200X | Physical Therapist - Pediatrics | (* (Not Available)) | Secondary |
| 2251S0007X | Physical Therapist - Sports | (* (Not Available)) | Secondary |
| 2251X0800X | Physical Therapist - Orthopedic | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 225XP0200X | Occupational Therapist - Pediatrics | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 174400000X | Specialist | (* (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.
Kids In Motion Physical Therapy, Pc acts as a billing entity for following providers:
| Provider Name | Herald E Schmidt |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1053469429
PECOS PAC ID: 0446302749
Enrollment ID: I20090717000203 |
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| Provider Name | Heather P Lien |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1306072830
PECOS PAC ID: 5496808230
Enrollment ID: I20090727000756 |
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| Provider Name | Deborah D Ruehle |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1326367459
PECOS PAC ID: 8628212883
Enrollment ID: I20130910000666 |
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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. Kids In Motion Physical Therapy, Pc 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 Address | Practice Location Address |
|---|
Kids In Motion Physical Therapy, Pc
1221 Michigan St,
Sandpoint, ID 83864-1745
Ph: (208) 255-6693 | Kids In Motion Physical Therapy, Pc
110 Tibbetts Dr Ste 123,
Ponderay, ID 83852-9812
Ph: (208) 255-7337 |
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