| Therapeutic Associates Inc | |
|
960 S Broadway Ave Ste 200, Boise, ID 83706-3600 | |
| (208) 433-9211 | |
| (208) 433-9241 |
| Full Name | Therapeutic Associates Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 960 S Broadway Ave Ste 200, 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 |
|---|---|---|---|
| 1487630240 | NPI | - | NPPES |
| 1487630240-000 | Medicaid | ID | |
| 197670349 | Medicaid | ID | |
| 1487630240 | Medicaid | ID | |
| 197670349 | Other | ID | OWCP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (Idaho) | Primary |
| Provider Name | Lisa M Swan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275603086 PECOS PAC ID: 9638154198 Enrollment ID: I20040621000548 |
| Provider Name | Corey E Dupont |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639334279 PECOS PAC ID: 3577639392 Enrollment ID: I20080902000441 |
| Provider Name | Robert M Barnes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912974650 PECOS PAC ID: 4688740079 Enrollment ID: I20080909000376 |
| Provider Name | Nicole L Barnes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871769307 PECOS PAC ID: 6901965854 Enrollment ID: I20081106000306 |
| Provider Name | Brian C Weiderman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831419332 PECOS PAC ID: 0547392029 Enrollment ID: I20100719000816 |
| Provider Name | Matthew Ryan Booth |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265416291 PECOS PAC ID: 7416923800 Enrollment ID: I20100908000723 |
| Provider Name | Kala C Whitworth |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619283975 PECOS PAC ID: 0446420657 Enrollment ID: I20110825000685 |
| Provider Name | Mark L Moss |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891050068 PECOS PAC ID: 0345490165 Enrollment ID: I20121031000700 |
| Provider Name | Lynsey J Wagner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477895498 PECOS PAC ID: 2264670454 Enrollment ID: I20130529000869 |
| Provider Name | Catherine E Duke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114363199 PECOS PAC ID: 4981847712 Enrollment ID: I20130827000526 |
| Provider Name | Jennifer A Skeesick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457414609 PECOS PAC ID: 5294896973 Enrollment ID: I20140606001224 |
| Provider Name | Mindy E English |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093156689 PECOS PAC ID: 0244458990 Enrollment ID: I20140821002781 |
| Provider Name | Jerrod R Ackerman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487067005 PECOS PAC ID: 2668690827 Enrollment ID: I20140829001081 |
| Provider Name | Collin R Reid |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124477716 PECOS PAC ID: 8527350974 Enrollment ID: I20160706001126 |
| Provider Name | Paige L Barbero |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063847259 PECOS PAC ID: 5395003834 Enrollment ID: I20171211001715 |
| Provider Name | Shannon M Mcgrath |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609375187 PECOS PAC ID: 6002178332 Enrollment ID: I20180326000611 |
| Provider Name | Tyrel J Nelson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477045581 PECOS PAC ID: 9133478647 Enrollment ID: I20180816001758 |
| Provider Name | Shelby J Hyde |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326511056 PECOS PAC ID: 6406194786 Enrollment ID: I20190212001259 |
| Provider Name | Erin Margaret Tuthill |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285885343 PECOS PAC ID: 9133462351 Enrollment ID: I20190509002669 |
| Provider Name | Brett S Bennett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093271355 PECOS PAC ID: 5092058396 Enrollment ID: I20190529001960 |
| Provider Name | Stephanie Meo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629600739 PECOS PAC ID: 8123455540 Enrollment ID: I20200306001436 |
| Provider Name | Susan Alaine Ackerman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437534781 PECOS PAC ID: 2062792153 Enrollment ID: I20200327001670 |
| Provider Name | Chad S Neubauer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619398393 PECOS PAC ID: 5395168587 Enrollment ID: I20200707000769 |
| Provider Name | Cole Davis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982216693 PECOS PAC ID: 3971921651 Enrollment ID: I20200911001622 |
| Provider Name | Teisha Banda |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538767231 PECOS PAC ID: 8729498126 Enrollment ID: I20201112002721 |
| Provider Name | Katrina Shibambo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710594478 PECOS PAC ID: 9133530439 Enrollment ID: I20201117002276 |
| Provider Name | Sean Hurley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588231740 PECOS PAC ID: 1052711074 Enrollment ID: I20210614001375 |
| Provider Name | Joseph Dillon Gragnano |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013660562 PECOS PAC ID: 3476948407 Enrollment ID: I20220309002610 |
| Provider Name | Alison Marie Dumas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821746314 PECOS PAC ID: 6800281296 Enrollment ID: I20220322001535 |
| Provider Name | Brianna Alyce Thompson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780326991 PECOS PAC ID: 6305225822 Enrollment ID: I20220614000476 |
| Provider Name | Kendra W Ickes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902533078 PECOS PAC ID: 9234513953 Enrollment ID: I20220830002544 |
| Provider Name | Kimberly Mazzella |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730110982 PECOS PAC ID: 6002811387 Enrollment ID: I20220930002315 |
| Provider Name | Caleb Malvini |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710638028 PECOS PAC ID: 3476925702 Enrollment ID: I20230214001122 |
| Provider Name | Kristen Irene Dunlay |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528771276 PECOS PAC ID: 8123491669 Enrollment ID: I20230302001672 |
| Provider Name | Jacob A Lopez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386349645 PECOS PAC ID: 7618335266 Enrollment ID: I20230614002127 |
| Provider Name | Emily Rae Greer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326803925 PECOS PAC ID: 7214373547 Enrollment ID: I20240308003398 |
| Provider Name | Daniel Thimann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841035250 PECOS PAC ID: 5890232391 Enrollment ID: I20240801002941 |
| Provider Name | Andrew Peterschmidt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922845981 PECOS PAC ID: 9830637263 Enrollment ID: I20241002001890 |
| Provider Name | Natalie Crossley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861215709 PECOS PAC ID: 2163956921 Enrollment ID: I20241115001811 |
| Provider Name | Christine Mary Panagos |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477744605 PECOS PAC ID: 5496043713 Enrollment ID: I20250102000530 |
| Provider Name | Julie Orme |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295525079 PECOS PAC ID: 6800306002 Enrollment ID: I20250606002631 |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutic Associates Inc 16083 Sw Upper Boones Ferry Rd, Ste 300, Tigard, OR 97224-7736 Ph: (800) 219-8835 | Therapeutic Associates Inc 960 S Broadway Ave Ste 200, Boise, ID 83706-3600 Ph: (208) 433-9211 |
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 |