JOURNEY PEDIATRIC THERAPY


Address: 506 Alder St Fl 2, Sandpoint, ID 83864-1567
Phone: 2086278615

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0400X Clinic/Center
Specialization: Rehabilitation
OT-1405 ID Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
ID 1750758702 05

Office Location

Street Address 506 ALDER ST FL 2
City SANDPOINT
State ID
Zip Code 83864-1567

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750758702 Maresa Black Occupational Therapist 506 Alder St Fl 2, Sandpoint, ID 83864-1567 2015-08-25

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QR0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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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
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Competitor

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City SANDPOINT
Zip Code 83864

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Dataset Information

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.

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