| Peak Physical Therapy P C | |
|
7550 W Emerald St # 101, Boise, ID 83704-9015 | |
| (208) 375-0666 | |
| (208) 375-2996 |
| Full Name | Peak Physical Therapy P C |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 7550 W Emerald St # 101, Boise, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073551560 | NPI | - | NPPES |
| 806711000 | Medicaid | ID | |
| CK8839 | Other | ID | RAIL ROAD MEDICARE |
| 000010142952 | Other | ID | BLUE SHIELD OF IDAHO |
| T8059 | Other | ID | BLUE CROSS OF IDAHO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Lloyd Paul Levi Frasier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336164763 PECOS PAC ID: 1355345786 Enrollment ID: I20080509000263 |
| Provider Name | Brian A Mcdermott |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649506502 PECOS PAC ID: 3678614229 Enrollment ID: I20111006000502 |
| Provider Name | Ryan P Haskell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003069725 PECOS PAC ID: 4688569320 Enrollment ID: I20121218000124 |
| Provider Name | Joshua O Tilley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285874123 PECOS PAC ID: 2769537174 Enrollment ID: I20140512001910 |
| Provider Name | Thomas Michael Miller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518072131 PECOS PAC ID: 0446274120 Enrollment ID: I20150723006987 |
| Provider Name | Michael G Lemmon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790154128 PECOS PAC ID: 3678882040 Enrollment ID: I20151026001692 |
| Provider Name | Kristen M Folger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780052720 PECOS PAC ID: 6608157342 Enrollment ID: I20170111002309 |
| Provider Name | Trevor Jay Schmidt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659771954 PECOS PAC ID: 0244592509 Enrollment ID: I20180326001812 |
| Provider Name | Kenneth J Murdock |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417456815 PECOS PAC ID: 7618231952 Enrollment ID: I20180514001250 |
| Provider Name | J Kyle Hadley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881077600 PECOS PAC ID: 9638434616 Enrollment ID: I20180522000404 |
| Provider Name | Corey O'connor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467009712 PECOS PAC ID: 2264869718 Enrollment ID: I20200224001877 |
| Provider Name | Haley Nicole Shovlin Visser |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437773769 PECOS PAC ID: 1052733425 Enrollment ID: I20200612001985 |
| Provider Name | Jaymes Joseph William Sajczuk |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336762343 PECOS PAC ID: 7719308436 Enrollment ID: I20200617001604 |
| Provider Name | Brandon Todd |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568139640 PECOS PAC ID: 6204233653 Enrollment ID: I20210928000629 |
| Provider Name | Dana J.k. Kernan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225108764 PECOS PAC ID: 2365834207 Enrollment ID: I20220126001526 |
| Provider Name | Tyson Daniel Cook |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033583117 PECOS PAC ID: 1759775703 Enrollment ID: I20220308001886 |
| Provider Name | Jenna R Bendio |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558036566 PECOS PAC ID: 7214322197 Enrollment ID: I20220310001802 |
| Provider Name | Gary N Mcewen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023445129 PECOS PAC ID: 9133557267 Enrollment ID: I20220315002617 |
| Provider Name | Brandon Scott Sallee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538891676 PECOS PAC ID: 7012391485 Enrollment ID: I20220902000785 |
| Provider Name | Kristen M Holloway |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669102026 PECOS PAC ID: 0244615268 Enrollment ID: I20220912002599 |
| Provider Name | James E Anderson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538627641 PECOS PAC ID: 2264766567 Enrollment ID: I20221017002243 |
| Provider Name | Joshua Clarke Golden |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194391938 PECOS PAC ID: 7416324926 Enrollment ID: I20221111001508 |
| Provider Name | Brett Jordan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164198750 PECOS PAC ID: 0446658504 Enrollment ID: I20221205002687 |
| Provider Name | Brian J Stanton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689269813 PECOS PAC ID: 3971992454 Enrollment ID: I20230421001174 |
| Provider Name | Michelle Holt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750068847 PECOS PAC ID: 8123489200 Enrollment ID: I20230804003645 |
| Provider Name | Jared Houser |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912605726 PECOS PAC ID: 8123487881 Enrollment ID: I20240213001614 |
| Provider Name | Kenneth Andrew Gardner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699338939 PECOS PAC ID: 0143557553 Enrollment ID: I20240306004342 |
| Provider Name | Derek L Rodigo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942058417 PECOS PAC ID: 1456895473 Enrollment ID: I20240702000930 |
| Provider Name | Emme Jordan Warnken |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245097963 PECOS PAC ID: 9739626151 Enrollment ID: I20240802003119 |
| Provider Name | Joshua Sparkman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134790272 PECOS PAC ID: 4385046044 Enrollment ID: I20240827001138 |
| Provider Name | Molly Broe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033193255 PECOS PAC ID: 5597783902 Enrollment ID: I20240904003852 |
| Provider Name | Thanh-truc Nguyen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851125850 PECOS PAC ID: 8123569522 Enrollment ID: I20240925003909 |
| Provider Name | Calvin Wilbanks |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013748508 PECOS PAC ID: 4082148424 Enrollment ID: I20250611000488 |
| Mailing Address | Practice Location Address |
|---|---|
| Peak Physical Therapy P C 1650 Lyndon Farm Ct Ste 300, Louisville, KY 40223-5005 Ph: (812) 628-3060 | Peak Physical Therapy P C 7550 W Emerald St # 101, Boise, ID 83704-9015 Ph: (208) 375-0666 |
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 |