PRECISION PERFORMANCE AND THERAPY (NPI# 1497143507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497143507 |
| Entity Type | Organization |
| Organization Name | PRECISION PERFORMANCE AND THERAPY |
| Other Organization Name | FUNCTIONAL PHYSICAL THERAPY CENTER |
| Practice Address |
8950 W Emerald St Ste 150 Boise ID 83704-4854 |
| Mailing Address |
4619 W Steeplechase Dr Meridian ID 83646-6495 |
| Practice Telephone | 2083767313 |
| Practice Fax Number | 2083767487 |
| Mailing Telephone | 2087609988 |
| Enumeration Date | 2014-12-26 |
| Last Update Date | 2015-01-21 |
| Authorized Official Name | CHRISTOPHER J HANSEN (OWNER) |
| Authorized Official Telephone | 2087609988 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT-2832 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Functional Physical Therapy Center | Doing Business As Name - Organization |
| Street Address |
8950 W EMERALD ST STE 150 |
| City | BOISE |
| State | ID |
| Zip Code | 83704-4854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801867817 | Helen A Napier | Psychologist | 8950 W Emerald St, Suite 168, Boise, ID 83704-4854 | 2006-01-28 |
| 1316579543 | Jennelle Johnson | Social Worker | 8950 W Emerald St, Boise, ID 83704-4854 | 2020-02-05 |
| 1619515095 | Sarah Gordon | Social Worker | 8950 W Emerald St, Boise, ID 83704-4854 | 2019-12-16 |
| 1598278673 | Kersondra Corrine Hood | Social Worker | 8950 W Emerald St, Boise, ID 83704-4854 | 2017-11-10 |
| 1831643154 | Lindsay Rae Kenley | Counselor | 8950 W Emerald St, Suite 178, Boise, ID 83704-4854 | 2016-08-04 |
| 1669844320 | Jacqueline Smithee | Counselor | 8950 W Emerald St, Suite 178, Boise, ID 83704-4854 | 2015-10-21 |
| 1629440383 | Sarah Lyter | Counselor | 8950 W Emerald St, Suite 178, Boise, ID 83704-4854 | 2015-10-21 |
| 1023412202 | Christa M Stallworth | Counselor | 8950 W Emerald St, Suite 178, Boise, ID 83704-4854 | 2014-10-16 |
| 1134548373 | Norma Alicia Guillen | Social Worker | 8950 W Emerald St, Suite 178, Boise, ID 83704-4854 | 2014-04-15 |
| 1902182298 | Functional Physical Therapy Center | Clinic/Center | 8950 W Emerald St, Suite 195, Boise, ID 83704-4854 | 2011-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535893 | Laura Diggs | Counselor | 400 North Benjamin Lane, Suite 200, Boise, ID 83704 | 2020-10-15 |
| 1891304002 | Tree City Family Dental | Dentist | 7301 W. Emerald St Ste. 102, Boise, ID 83704 | 2020-07-24 |
| 1982230710 | Jessica Wynn Councell | Midwife | 1072 N Liberty St Ste 100, Boise, ID 83704 | 2020-03-12 |
| 1699307124 | Isabel Burns Bruce | Registered Nurse | 777 N Raymond Street, Boise, ID 83704 | 2020-02-12 |
| 1558903328 | Daring In Idaho, LLC | Social Worker | 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 | 2019-10-14 |
| 1053960286 | Kyle Hiromi Hatanaka | Acupuncturist | 9450 #120 Fairview Avenue, Boise, ID 83704 | 2019-09-10 |
| 1700447141 | Katie Elizabeth Nichols | Physician Assistant | 1072 N Liberty St Ste 201, Boise, ID 83704 | 2019-06-26 |
| 1588164727 | Cory Michael Sims | Counselor | 6550 W. Emerald St #112, Boise, ID 83704 | 2018-02-14 |
| 1477072270 | Matthew Lee Love | Non-emergency Medical Transport (VAN) | 6933 W. Stratton St, Boise, ID 83704 | 2017-09-12 |
| 1942735949 | Dalana Sue Thompson | Counselor | 9196 Emerald St Suite #130, Boise, ID 83704 | 2017-04-27 |
| Find all providers in zip 83704 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205307485 | Scoliosis Treatment Center of Idaho | Physical Therapist | 2157 S Pebblecreek Ln, Boise, ID 83706-6123 | 2018-12-16 |
| 1437210853 | Judith Lee Grucella | Physical Therapist | 4477 Emerald St Ste C125, Boise, ID 83706-2058 | 2006-12-12 |
| 1689770711 | Pro Motion Physical Therapy LLC | Physical Therapist | 1101 N 28th St, Boise, ID 83702-2208 | 2006-09-16 |
| 1184720211 | Pro Motion Physical Therapy LLC | Physical Therapist | 3040 N Five Mile Rd, Boise, ID 83713-5234 | 2006-09-16 |
| 1447256086 | Jay Armstrong | Physical Therapist | 1188 W University Dr, Boise, ID 83706-3009 | 2005-06-27 |
| 1528620853 | Dana Van Wyck | Physical Therapist | 4776 N Five Mile Rd, Boise, ID 83713-2715 | 2019-07-08 |
| 1003477274 | Bridget Gilbertson | Physical Therapist | 703 S Americana Blvd Ste 130, Boise, ID 83702-6754 | 2019-06-27 |
| 1346731718 | Kaitlyn Marie Brown | Physical Therapist | 1188 W University Dr, Boise, ID 83706-3009 | 2018-05-22 |
| 1194193334 | Candice Chessum | Physical Therapist | 1109 W Myrtle St, Boise, ID 83702-6970 | 2015-09-04 |
| 1407287477 | Scott Billing | Physical Therapist | 703 Americana Blvd, Ste 130, Boise, ID 83702 | 2013-12-02 |
| Find all providers in BOISE | ||||
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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.