| Phares Briggs Horman, PT | |
|
3456 E 17th St, Suite 130, Ammon, ID 83406-6757 | |
| (208) 523-0030 | |
| Not Available |
| Full Name | Phares Briggs Horman |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 3456 E 17th St, Ammon, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013087576 | NPI | - | NPPES |
| TD207 | Other | ID | BLUE CROSS INDIVIDUAL # |
| 000010152190 | Other | ID | BLUE SHIELD INDIV. NUMBER |
| 000010152186 | Other | ID | BLUE SHIELD GROUP NUMBER |
| 8M467 | Other | ID | BLUE CROSS GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT-727 (Idaho) | Primary |
| Provider Name | Peak Performance Therapy Services P C |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1003898974 PECOS PAC ID: 8123069333 Enrollment ID: O20250521001629 |
| Mailing Address | Practice Location Address |
|---|---|
| Phares Briggs Horman, PT 3456 E 17th St, Suite 130, Ammon, ID 83406-6757 Ph: (208) 523-0030 | Phares Briggs Horman, PT 3456 E 17th St, Suite 130, Ammon, ID 83406-6757 Ph: (208) 523-0030 |
Brittany Renae Brown, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1615 Curlew Dr, Ammon, ID 83406 Phone: 208-516-1204 Fax: 208-577-6477 | |
Peak Performance Therapy Services P C Physical Therapist Medicare: Medicare Enrolled Practice Location: 3456 E 17th St, Suite 130, Ammon, ID 83406 Phone: 208-523-0030 Fax: 208-523-3828 | |
Vista Physical Therapy, Pllc Physical Therapist Medicare: Medicare Enrolled Practice Location: 1615 Midway Dr, Ammon, ID 83406 Phone: 208-529-1715 | |
Michael Cuthbertson, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3456 E 17th St Ste 130, Ammon, ID 83406 Phone: 208-523-0030 Fax: 208-523-3828 | |
Lindsay Ann Rankin, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2785 Eagle Dr Apt G106, Ammon, ID 83406 Phone: 801-602-2651 | |
Morgan Jesse Ricks, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 939 S 25th E Ste 104, Ammon, ID 83406 Phone: 208-715-8504 Fax: 208-715-8505 |