| Lake City Physical Therapy P A | |
|
8238 N Government Way, Hayden, ID 83835-5034 | |
| (208) 762-2100 | |
| Not Available |
| Full Name | Lake City Physical Therapy P A |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 8238 N Government Way, Hayden, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952521411 | NPI | - | NPPES |
| 002793000 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | RPT629 (Idaho) | Primary |
| Provider Name | Mary A Rogers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588689160 PECOS PAC ID: 5395710883 Enrollment ID: I20040828000053 |
| Provider Name | Leola E Hall |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316008220 PECOS PAC ID: 1254419369 Enrollment ID: I20080415000294 |
| Provider Name | Linsey A T Cahan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578875076 PECOS PAC ID: 7113050006 Enrollment ID: I20100728001288 |
| Provider Name | Sheree L Dibiase |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396813309 PECOS PAC ID: 9032001698 Enrollment ID: I20110323000170 |
| Provider Name | Gabrielle A Buch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942633953 PECOS PAC ID: 7113151226 Enrollment ID: I20200901001448 |
| Provider Name | Holly Lang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801455092 PECOS PAC ID: 1658709621 Enrollment ID: I20201207002115 |
| Provider Name | Kinzie Marie Munar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639528185 PECOS PAC ID: 9133408461 Enrollment ID: I20201211002251 |
| Provider Name | Keldyn Lang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396297727 PECOS PAC ID: 1759663503 Enrollment ID: I20201221002094 |
| Provider Name | Rachel Kebbel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992397087 PECOS PAC ID: 9537574751 Enrollment ID: I20210222002686 |
| Provider Name | Dora Kaylynn Monson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477904266 PECOS PAC ID: 4587950720 Enrollment ID: I20210526002679 |
| Provider Name | Melina Nicole Harrington |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639756620 PECOS PAC ID: 5092119859 Enrollment ID: I20210802002583 |
| Provider Name | Savanna Lynn Edson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447925680 PECOS PAC ID: 6305242181 Enrollment ID: I20210901004118 |
| Provider Name | Mckenna Briane Young |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548878341 PECOS PAC ID: 3375921174 Enrollment ID: I20220607002831 |
| Provider Name | Meggi Grace Serrette |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548740624 PECOS PAC ID: 9436402781 Enrollment ID: I20221222000834 |
| Provider Name | Isabel Grace Schmelzer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851002653 PECOS PAC ID: 8426429002 Enrollment ID: I20230118000786 |
| Provider Name | Autumn Grove |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033596747 PECOS PAC ID: 9032569033 Enrollment ID: I20240102003960 |
| Mailing Address | Practice Location Address |
|---|---|
| Lake City Physical Therapy P A Po Box 1180, Hayden, ID 83835-1180 Ph: (208) 966-4176 | Lake City Physical Therapy P A 8238 N Government Way, Hayden, ID 83835-5034 Ph: (208) 762-2100 |
Laura Handyside Steininger, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8382 N Wayne Dr Ste 204, Hayden, ID 83835 Phone: 208-719-9071 Fax: 208-719-9073 | |
Autumn Grove, Physical Therapist Medicare: Medicare Enrolled Practice Location: 8238 N Government Way, Hayden, ID 83835 Phone: 208-762-2100 Fax: 208-762-2101 | |
Erica Lea Chvilicek, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8257 N Cornerstone Dr, Hayden, ID 83835 Phone: 208-762-0881 | |
Jeremy Albert Dye, M.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1172 W Hayden Ave, Hayden, ID 83835 Phone: 208-773-8111 Fax: 208-773-8385 | |
Teri Ann Venera, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8382 N Wayne Dr, Hayden, ID 83835 Phone: 208-758-0484 Fax: 208-485-4781 | |
Karen L Lee, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 8300 N Wayne Dr, Hayden, ID 83835 Phone: 208-772-9774 Fax: 208-772-9564 | |
Adam Michael Borg, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1172 W Hayden Ave, Hayden, ID 83835 Phone: 208-762-3332 Fax: 208-762-4268 |