| Erickson Pt Enterprises Pllc | |
|
1005 Highway 2, Sandpoint, ID 83864-1702 | |
| (208) 263-1632 | |
| (208) 255-2066 |
| Full Name | Erickson Pt Enterprises Pllc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1005 Highway 2, Sandpoint, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093253940 | NPI | - | NPPES |
| 806604100 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT-1783 (Idaho) | Primary |
| Provider Name | Shawna Benner-erickson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699802553 PECOS PAC ID: 2365462405 Enrollment ID: I20051202000767 |
| Mailing Address | Practice Location Address |
|---|---|
| Erickson Pt Enterprises Pllc 1005 Highway 2, Sandpoint, ID 83864-1702 Ph: (208) 263-1632 | Erickson Pt Enterprises Pllc 1005 Highway 2, Sandpoint, ID 83864-1702 Ph: (208) 263-1632 |
Christina M Rust Dpt & Associates Pc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 801 Pine St Ste 2, Sandpoint, ID 83864 Phone: 208-290-2856 Fax: 208-290-2856 | |
Bonner Physical Therapy P.c. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1327 Superior St, Sandpoint, ID 83864 Phone: 208-263-5731 Fax: 208-265-4716 | |
Herald E Schmidt, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1221 Michigan St, Sandpoint, ID 83864 Phone: 208-265-0534 Fax: 208-265-0875 | |
Kristine Maia Rae, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1905 Pine St, Sandpoint, ID 83864 Phone: 208-263-7998 Fax: 208-255-2423 | |
Amanda E Thome, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1301 N Division Ave, Sandpoint, ID 83864 Phone: 208-265-0610 Fax: 208-265-9192 | |
Donnamarie Aylward, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 220 S Division Ave, Sandpoint, ID 83864 Phone: 208-265-4514 Fax: 208-263-3789 |