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TREASURE VALLEY REHABILITATION NPI 1235458654


NPI Information

NPI: 1235458654
Provider Name: TREASURE VALLEY REHABILITATION
Classification: Physical Therapist - 2251X0800X
Entity Type: Organization

Specialization: Orthopedic

CLIA Number: 13D2273503

Address:
524 CLEVELAND BLVD STE 110
CALDWELL, ID
ZIP 83605
Phone: (208) 695-6688
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TREASURE VALLEY REHABILITATION is an orthopedic physical therapist in Caldwell, ID. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. TREASURE VALLEY REHABILITATION NPI is 1235458654. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

524 CLEVELAND BLVD STE 110
CALDWELL, ID
ZIP 83605-079
Phone: (208) 695-6688

The provider's authorized official is Boyd S Ricks .
The authorized official title is Owner, Therapist and has the following contact phone number (208) 695-6688.

The CLIA number assigned to this NPI record is 13D2273503 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/25/2010 and was last updated on 5/25/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225X00000XOccupational TherapistOT-810IDAHONo
22251X0800XPhysical TherapistOrthopedicPT-2172IDAHOYes

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: 4/28/2024

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