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MAYES PHYSICAL THERAPY INC NPI 1225235039


NPI Information

NPI: 1225235039
Provider Name: MAYES PHYSICAL THERAPY, INC
Classification: Clinic/Center - 261QP2000X
Entity Type: Organization

Specialization: Physical Therapy

Address:
1976 S LINCOLN AVE
SUITE 6A
JEROME, ID
ZIP 83338
Phone: (208) 644-1433
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MAYES PHYSICAL THERAPY, INC is a physical therapy clinic center in Jerome, ID. The provider is an entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance. MAYES PHYSICAL THERAPY, INC NPI is 1225235039. The provider is registered as an organization entity type.

The provider's business location address is:

1976 S LINCOLN AVE
SUITE 6A
JEROME, ID
ZIP 83338-150
Phone: (208) 644-1433
Fax: (208) 644-1434

The provider's authorized official is Daryl Dean Mayes .
The authorized official title is Owner and has the following contact phone number (208) 644-1433.

The enumeration date for this NPI number is 6/27/2007 and was last updated on 5/28/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2000XClinic/CenterPhysical Therapy125IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P00211749MEDICARE ID-TYPE UNSPECIFIEDIDAHOCIGNARR ID
21002857OTHERIDAHOSTATE INSURANCE ID
3125OTHERIDAHOSTATE ID LICENSE
41652038MEDICARE ID-TYPE UNSPECIFIEDIDAHOINDIVIDUAL MEDICARE ID
5DD1645MEDICARE ID-TYPE UNSPECIFIEDIDAHOMEDICARE RR GROUP ID
6T2797OTHERIDAHOBLUE CROSS ID
71379198MEDICARE ID-TYPE UNSPECIFIEDIDAHOGROUP MEDICARE ID
8000010023964OTHERIDAHOREGENCE BLUE SHIELD PIN
9390146OTHERIDAHOREGENCE BLUE SHIELD ID
101033262183OTHERIDAHOINDIVIDUAL NPI
110044033MEDICAIDIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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