JOURNEY PEDIATRIC THERAPY (NPI# 1023487105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023487105 |
Entity Type | Organization |
Organization Name | JOURNEY PEDIATRIC THERAPY |
Practice Address |
506 Alder St Fl 2 Sandpoint ID 83864-1567 |
Mailing Address |
Po Box 2476 Sandpoint ID 83864-0914 |
Practice Telephone | 2086278615 |
Enumeration Date | 2015-09-18 |
Last Update Date | 2016-01-20 |
Authorized Official Name | MARESA BLACK (OCCUPATIONAL THERAPIST AND OWNER) |
Authorized Official Telephone | 2086278615 |
Authorized Official Credential | OTR/L |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
OT-1405 | ID | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ID | 1750758702 | 05 |
Street Address |
506 ALDER ST FL 2 |
City | SANDPOINT |
State | ID |
Zip Code | 83864-1567 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750758702 | Maresa Black | Occupational Therapist | 506 Alder St Fl 2, Sandpoint, ID 83864-1567 | 2015-08-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144842600 | Deblaquiere Enterprises, Inc. | Pharmacy | 1319 Hwy 2, Suite A, Sandpoint, ID 83864 | 2020-05-07 |
1245867670 | Kimberly Sue Batchelder | Massage Therapist | Sandpoint Medical Massage & Bodyworks, LLC, 515 Pine Street Ste G., Sandpoint, ID 83864 | 2020-03-25 |
1699309963 | Ckam Rejuvenation Center LLC | Massage Therapist | 1315 Us-2, #5, Sandpoint, ID 83864 | 2020-02-26 |
1427602986 | Alpine Hand Therapy Inc | Physical Medicine & Rehabilitation | 1205 Hwy 2, Suite 102, Sandpoint, ID 83864 | 2019-08-01 |
1295388536 | Momentum Medical Massage and Personal Training, LLC | Massage Therapist | 1013 W Lake St, Sandpoint, ID 83864 | 2019-07-16 |
1629508932 | Karen Elizabeth Vollmer-poseley | Counselor | 506 N. 4th Ave, Sandpoint, ID 83864 | 2017-06-19 |
1760912042 | Gregory Jon Anthony Prins | Dentist | 1305 Highway 2 West, Sandpoint, ID 83864 | 2017-06-19 |
1730547084 | Charity Catlin | Midwife | 204 N 4th Ave #2355, Sandpoint, ID 83864 | 2016-02-02 |
1497148860 | Loftus Family Dental - Sandpoint Pllc | Dentist | 1310 Ponderosa Drive, Suite A, Sandpoint, ID 83864 | 2015-03-10 |
1215365523 | Tamarack Treatment and Counseling Center, Pllc | Counselor | 101 N. Boyer Ave, Sandpoint, ID 83864 | 2013-10-23 |
Find all providers in zip 83864 |
Taxonomy Code | 261QR0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation |
Definition to come... |
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1669503066 | Idaho Dept of Health & Welfare R5 Cmh Psr Jer | Clinic/Center | 126 N Adams St, Jerome, ID 83338-2331 | 2007-03-08 |
1396876850 | Idaho Dept. of Health & Welfare | Clinic/Center | 803 Harrison St., Twin Falls, ID 83301-3925 | 2007-03-08 |
1720116551 | Idaho Dept of Health & Welfare Reg II Cmh Moscow | Clinic/Center | 1350 Troy Hwy, Moscow, ID 83543-3995 | 2007-03-01 |
1164550455 | Idaho Dept of Health & Welfare Reg 1 Cmh Psr Cda | Clinic/Center | 1250 Ironwood Dr Ste 100, Coeur D Alene, ID 83814-2628 | 2007-03-01 |
1851787980 | Fit Technologies Pllc | Clinic/Center | 3544 E 17th St, Suite 201, Ammon, ID 83406-6911 | 2015-04-15 |
1053729434 | Celebration Speech Inc | Clinic/Center | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 | 2014-07-29 |
1689082182 | Generations Occupational Therapy | Clinic/Center | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 | 2014-07-28 |
1942616073 | St Luke's Elks Childrens Rehabilitation | Clinic/Center | 3525 E Louise Dr, Suite 255, Meridian, ID 83642-6302 | 2014-07-09 |
1750620159 | Saint Alphonsus Regional Medical Center Inc | Clinic/Center | 4400 E Flamingo Ave, Nampa, ID 83687 | 2013-02-05 |
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.