Periwinkle Children's Therapy is a
Contractor based in Hayden, Idaho. Periwinkle Children's Therapy is licensed to practice in * (Not Available) (license number ) and their current practice location is
1401 W Bizztown Loop, Hayden, Idaho. It can be reached at their office (for appointments etc.) via phone at
(208) 762-3502.
NPI number for Periwinkle Children's Therapy is 1184972184 and their current mailing address is 1401 W Bizztown Loop, Hayden, Idaho. Periwinkle Children's Therapy
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1184972184.
Healthcare Provider's Profile
| Full Name | Periwinkle Children's Therapy |
|---|
| Type | Facility |
|---|
| Speciality | Contractor |
|---|
| Location | 1401 W Bizztown Loop, Hayden, Idaho |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1184972184
- Provider Enumeration Date: 08/22/2012
- Last Update Date: 08/22/2012
Medical Identifiers
Medical identifiers for Periwinkle Children's Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184972184 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2251P0200X | Physical Therapist - Pediatrics | (* (Not Available)) | Secondary |
| 225XP0200X | Occupational Therapist - Pediatrics | (* (Not Available)) | Secondary |
| 171W00000X | Contractor | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Periwinkle Children's Therapy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Periwinkle Children's Therapy
1401 W Bizztown Loop,
Hayden, ID 83835-5113
Ph: (208) 762-3502 | Periwinkle Children's Therapy
1401 W Bizztown Loop,
Hayden, ID 83835-5113
Ph: (208) 762-3502 |
Reviews and Comments