| Matthew Livermore, DPT | |
|
4922 Yellowstone Ave Ste K, Chubbuck, ID 83202-2360 | |
| (208) 237-1882 | |
| Not Available |
| Full Name | Matthew Livermore |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 4922 Yellowstone Ave Ste K, Chubbuck, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285209676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT-7242 (Idaho) | Primary |
| Provider Name | Flicker Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1144504812 PECOS PAC ID: 6800054883 Enrollment ID: O20120222000282 |
| Provider Name | Elevate Pt Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1730803362 PECOS PAC ID: 2163887829 Enrollment ID: O20231114002220 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Livermore, DPT 8945 N Dewall Ln, Pocatello, ID 83201-9025 Ph: () - | Matthew Livermore, DPT 4922 Yellowstone Ave Ste K, 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 | |
Flicker Physical Therapy Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 4922 Yellowstone Ave Ste J, Chubbuck, ID 83202 Phone: 208-237-1882 Fax: 208-904-2990 | |
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 |