EMILY RENOVITCH (NPI# 1023396884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023396884 |
| Entity Type | Individual |
| Full Name | EMILY RENOVITCH |
| Credential | PT |
| Practice Address |
600 Valley Centre Dr Driggs ID 83422-5095 |
| Mailing Address |
600 Valley Centre Drive Driggs ID 83422 |
| Practice Telephone | 2083540089 |
| Mailing Telephone | 2083540089 |
| Enumeration Date | 2011-07-28 |
| Last Update Date | 2011-07-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT - 1742 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
600 VALLEY CENTRE DR |
| City | DRIGGS |
| State | ID |
| Zip Code | 83422-5095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124285952 | Heather Elizabeth Johnston | Physical Therapy Assistant | 600 Valley Centre Dr, Driggs, ID 83422-5095 | 2008-05-20 |
| 1437761889 | Morgan Schmidt | Physical Therapist | 600 Valley Centre Dr, Driggs, ID 83422-5095 | 2020-08-18 |
| 1689198921 | Mackenzie Wilson Parkhill | Physical Therapist | 600 Valley Centre Dr, Driggs, ID 83422-5095 | 2017-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598310278 | Lance Ole Einerson | Physical Therapist | 440 North Main Street, Driggs, ID 83422 | 2019-08-08 |
| 1093205684 | Jennifer Lynn Mccrillis | Counselor | 1300 Arrowhead Plaza, Driggs, ID 83422 | 2018-05-18 |
| 1730636358 | Tkj, LLC | Health Educator | 1251 Arrowhead Plaza Way, Driggs, ID 83422 | 2016-09-01 |
| 1790136091 | Teton County Fire Protection Dist | Ambulance | 911 North Hwy 33, Driggs, ID 83422 | 2016-06-28 |
| 1922458942 | Candace Dayton | Social Worker | 620 Centenial Mountain Drive, Ste 12, Driggs, ID 83422 | 2016-06-21 |
| 1881092955 | Rebecca A. Park | Massage Therapist | 500 E Ski Hill Rd, Driggs, ID 83422 | 2014-12-05 |
| 1902211089 | Anna Rhea Hirnyck | Physical Therapist | 500 E Ski Hill, Drigga, ID 83422 | 2014-06-26 |
| 1982018867 | Ruby Isaly | Speech-Language Pathologist | 560 E Howard Avenue, Driggs, ID 83422 | 2014-06-18 |
| 1043633712 | Neerings Dental Inc, Dba Teton Valley Dental Center | Dentist | 235 Wallace Ave, Driggs, ID 83422 | 2014-01-30 |
| 1205261583 | Sara Helen Mckeown White | Counselor | 1300 Arrowhead Plaza Way, Driggs, ID 83422 | 2013-09-05 |
| Find all providers in zip 83422 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992932263 | Streubel Therapy Services | Physical Therapist | 285 E Little Ave, Driggs, ID 83422-5137 | 2009-06-15 |
| 1972719516 | Marijke Onsrud | Physical Therapist | 120 E Howard St, Driggs, ID 83422-5112 | 2007-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548878341 | Mckenna Briane Young | Physical Therapist | 910 Nw 16th St Ste 200, Fruitland, ID 83619-2265 | 2020-07-17 |
| 1235750746 | Sol Physiotherapy LLC | Physical Therapist | 804 N Whitley Dr, Fruitland, ID 83619-2437 | 2020-05-06 |
| 1205307485 | Scoliosis Treatment Center of Idaho | Physical Therapist | 2157 S Pebblecreek Ln, Boise, ID 83706-6123 | 2018-12-16 |
| 1972027431 | Robert Bernard Wendt | Physical Therapist | 904 White Ave, Moscow, ID 83843-3932 | 2017-07-26 |
| 1588924724 | Kevin Cherry | Physical Therapist | 243 Idaho St., Suite A, Gooding, ID 83330-1258 | 2012-05-22 |
| 1811107394 | Kathleen Alexander | Physical Therapist | Mail Stop 8045, Pocatello, ID 83209-8045 | 2007-05-23 |
| 1912116682 | Rulin J Hawks | Physical Therapist | 1902 S 10th Ave, Caldwell, ID 83605-4841 | 2007-05-21 |
| 1013137850 | Mark Morgan | Physical Therapist | 221 S River St, Hailey, ID 83333-8436 | 2007-04-26 |
| 1437210853 | Judith Lee Grucella | Physical Therapist | 4477 Emerald St Ste C125, Boise, ID 83706-2058 | 2006-12-12 |
| 1598862757 | David Marshal Saelens | Physical Therapist | 3322 N Grand Mill Ln, Coeur D Alene, ID 83814-5689 | 2006-09-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.