Vault Physical Therapy Llc in Lewiston, ID - Medicare Physical Therapist Provider

Vault Physical Therapy Llc is a medicare enrolled "Physical Therapist" provider in Lewiston, Idaho. Their current practice location is 615 21st St, Lewiston, Idaho. You can reach out to their office (for appointments etc.) via phone at (980) 297-0839.

Vault Physical Therapy Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Vault Physical Therapy Llc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1891563755.

Contact Information

	Vault Physical Therapy Llc
	615 21st St, Lewiston, ID 83501-3285
	(980) 297-0839
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Vault Physical Therapy Llc
Type	Facility
Speciality	Physical Therapist
Location	615 21st St, Lewiston, Idaho
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891563755
Provider Enumeration Date: 12/19/2023
Last Update Date: 05/02/2024

Medicare PECOS Information:

PECOS PAC ID: 9537503495
Enrollment ID: O20240419000824

Medical Identifiers

Medical identifiers for Vault Physical Therapy Llc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891563755	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Vault Physical Therapy Llc acts as a billing entity for following providers:

Provider Name	Hannah Gibbs
Provider Type	Practitioner - Physical Therapist In Private Practice
Provider Identifiers	NPI Number: 1013396951 PECOS PAC ID: 1658683743 Enrollment ID: I20150701002712

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. Vault Physical Therapy Llc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Vault Physical Therapy Llc 20888 Kidd Dr, Lewiston, ID 83501-5684 Ph: (980) 297-0839	Vault Physical Therapy Llc 615 21st St, Lewiston, ID 83501-3285 Ph: (980) 297-0839

Reviews and Comments

Physical Therapist in Lewiston, ID

Dr. Hannah Gibbs, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 615 21st St, Lewiston, ID 83501 Phone: 208-413-7062
Kyle Joseph Knigge, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 328 Warner Dr Ste 8, Lewiston, ID 83501 Phone: 208-746-7573
Colleen Ann Schlangen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2870 Juniper Dr, Lewiston, ID 83501 Phone: 208-746-2855
Institute Of Physical Therapy And Fitness Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 678 Southway Ave, Lewiston, ID 83501 Phone: 208-746-1418 Fax: 208-746-4123
Gretchen Gay Gundy, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3317 12th St, Lewiston, ID 83501 Phone: 208-748-3258
Keith R Drury, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 678 Southway Ave, Lewiston, ID 83501 Phone: 208-746-1418 Fax: 208-746-4123
Peak Performance Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 216 Larkspur Ln, Lewiston, ID 83501 Phone: 208-746-0455 Fax: 208-746-0688

Vault Physical Therapy Llc - Medicare Physical Therapist in Lewiston, ID