| River City Physical Therapy | |
|
1132 E Polston Ave, Post Falls, ID 83854 | |
| (208) 777-7800 | |
| (208) 777-9209 |
| Full Name | River City Physical Therapy |
|---|---|
| Type | Facility |
| Speciality | Clinic/center - Physical Therapy |
| Location | 1132 E Polston Ave, Post Falls, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134149941 | NPI | - | NPPES |
| 1134149941 | Medicaid | ID | |
| 185406300 | Other | ID | OWCP |
| T9107 | Other | ID | BLUE CROSS OF IDAHO |
| 350075001 | Other | ID | GROUP HEALTH |
| 000010026849 | Other | ID | REGENCE BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
| Provider Name | David W Hillman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205916848 PECOS PAC ID: 3274522214 Enrollment ID: I20100908000158 |
| Provider Name | Michael Chang-bae Kim |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235218371 PECOS PAC ID: 8921057068 Enrollment ID: I20140609000815 |
| Provider Name | James M Wolk |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407447394 PECOS PAC ID: 9436567971 Enrollment ID: I20210421001418 |
| Provider Name | John Harrison Clark |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316682297 PECOS PAC ID: 5991184913 Enrollment ID: I20220622002570 |
| Provider Name | Pierce Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114662350 PECOS PAC ID: 5193105658 Enrollment ID: I20220630002218 |
| Provider Name | Zachary David Hillman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467142786 PECOS PAC ID: 6305205006 Enrollment ID: I20230628003131 |
| Provider Name | Luke T Mallory |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417712589 PECOS PAC ID: 4486099256 Enrollment ID: I20240302000247 |
| Mailing Address | Practice Location Address |
|---|---|
| River City Physical Therapy 1132 E Polston Ave, Post Falls, ID 83854-6045 Ph: (208) 777-7800 | River City Physical Therapy 1132 E Polston Ave, Post Falls, ID 83854 Ph: (208) 777-7800 |