| Pierce Physical Therapy And Sports Rehab Llc | |
|
4771 N Summit Way Ste 100, Meridian, ID 83646-5017 | |
| (208) 629-0656 | |
| (208) 617-3077 |
| Full Name | Pierce Physical Therapy And Sports Rehab Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 4771 N Summit Way Ste 100, Meridian, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578076519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT-3309 (Idaho) | Primary |
| Provider Name | Brett A Pierce |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740614569 PECOS PAC ID: 5597994251 Enrollment ID: I20140129001941 |
| Provider Name | Mandy A Nader |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912445891 PECOS PAC ID: 1355626748 Enrollment ID: I20200318001520 |
| Provider Name | Kaitlin C Hornick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942744834 PECOS PAC ID: 4183062490 Enrollment ID: I20240405001424 |
| Mailing Address | Practice Location Address |
|---|---|
| Pierce Physical Therapy And Sports Rehab Llc 4771 N Summit Way Ste 100, Meridian, ID 83646-5017 Ph: (208) 629-0656 | Pierce Physical Therapy And Sports Rehab Llc 4771 N Summit Way Ste 100, Meridian, ID 83646-5017 Ph: (208) 629-0656 |
Dr. Kennedy Poplawski Gillespie, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 90 E Ustick Rd Ste 150, Meridian, ID 83646 Phone: 208-895-0715 Fax: 208-895-0746 | |
Mr. Matthew Lyle Walker, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2321 E Gala St, Suite 1, Meridian, ID 83642 Phone: 208-888-4321 Fax: 208-895-8747 | |
Robin Mcgaw Hughes, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 520 S Eagle Rd, Meridian, ID 83642 Phone: 208-381-4757 Fax: 208-706-5538 | |
Saint Alphonsus Regional Medical Center Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 179 Sw 5th Ave, Meridian, ID 83642 Phone: 208-367-8282 Fax: 208-367-8288 | |
Jennifer Ellen Eikanger, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 875 S Vanguard Way Ste 110, Meridian, ID 83642 Phone: 208-960-0930 Fax: 208-960-0935 | |
Touchmark At Meadow Lake Village Reitrement Resort, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4037 E Clocktower Ln, Meridian, ID 83642 Phone: 208-888-2277 Fax: 208-888-9159 | |
Abigail Jorgensen, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 520 S Eagle Rd, Meridian, ID 83642 Phone: 208-706-5000 |