| Miranda Lynn Tipton, PT, DPT | |
|
671 E Riverpark Ln Ste 150, Boise, ID 83706-6559 | |
| (208) 912-6981 | |
| (208) 963-3065 |
| Full Name | Miranda Lynn Tipton |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 1 Years |
| Location | 671 E Riverpark Ln Ste 150, Boise, Idaho |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891539482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | CP032011T (Oregon) | Secondary |
| 225100000X | Physical Therapist | PT021170 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Edwards And Associates Physical Therapy | 9830507334 | 5 |
| Provider Name | Edwards And Associates Physical Therapy |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1720670862 PECOS PAC ID: 9830507334 Enrollment ID: O20210422000867 |
| Mailing Address | Practice Location Address |
|---|---|
| Miranda Lynn Tipton, PT, DPT 671 E Riverpark Ln Ste 150, Boise, ID 83706-6559 Ph: (208) 912-6981 | Miranda Lynn Tipton, PT, DPT 671 E Riverpark Ln Ste 150, Boise, ID 83706-6559 Ph: (208) 912-6981 |
Mrs. Dianne Denise Nelson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1130 Allumbaugh St, Boise, ID 83704 Phone: 208-854-8517 | |
Peter H Kolb, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 901 N Curtis Rd Ste 204, Boise, ID 83706 Phone: 208-367-3315 Fax: 208-367-2674 | |
Melissa Pirtle, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 703 S Americana Blvd, Suite 130, Boise, ID 83702 Phone: 208-706-7530 Fax: 208-706-7531 | |
Kyle Aaron Holbrook, PT, DPT, NCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 600 N Robbins Rd, Boise, ID 83702 Phone: 208-489-4444 | |
Rebecca Wensel, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2138 | |
Bridget Gilbertson, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2931 N Maywood Ave, Boise, ID 83704 Phone: 385-498-1740 | |
Action Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1175 E Parkcenter Blvd, Ste 101, Boise, ID 83706 Phone: 208-367-1010 |