DANA VAN WYCK (NPI# 1528620853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528620853 |
| Entity Type | Individual |
| Full Name | DANA VAN WYCK |
| Practice Address |
4776 N Five Mile Rd Boise ID 83713-2715 |
| Mailing Address |
5446 W Demison Ct Eagle ID 83616-5518 |
| Practice Telephone | 2086589500 |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2019-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4776 N FIVE MILE RD |
| City | BOISE |
| State | ID |
| Zip Code | 83713-2715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750319745 | Reid J Patterson | Physical Therapist | 4776 N Five Mile Rd, Suite 101, Boise, ID 83713-2715 | 2006-06-29 |
| 1659540995 | Achieve Physical Therapy Pllc | Physical Therapist | 4776 N Five Mile Rd, Suite 101, Boise, ID 83713-2715 | 2008-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265902332 | Kidscare Home Health of Idaho, LLC | Home Health | 1835 Wildwood Street, Boise, ID 83713 | 2018-11-30 |
| 1417463928 | Kimberly Ann Bohrer | Behavioral Analyst | 12053 W Hickory Dr, Boise, ID 83713 | 2017-12-19 |
| 1407371891 | Emir Hadzic | Optometrist | 13239 W. Fernleaf St., Boise, ID 83713 | 2017-08-07 |
| 1518336650 | Alliance Physical Medicine | Nurse Practitioner | 13909 W Wainwright Drive, Boise, ID 83713 | 2015-09-18 |
| 1083038335 | Jan L Rehder | Nurse Practitioner | 13150 W Persimmon Lane, Boise, ID 83713 | 2014-02-06 |
| 1508287061 | Heather N Fox | Physician Assistant | 12273 West Mcmillan Road, Boise, ID 83713 | 2013-12-30 |
| 1659667459 | Jayson Clark | Dentist | 4274 N Eagle Road, Boise, ID 83713 | 2011-06-21 |
| 1043503659 | Steven Anthony Eckhoff | Physician Assistant | 11662 W Arlen St, Boise, ID 83713 | 2011-05-16 |
| 1790923621 | Christie Dudash Flynn | Physician Assistant | 12273 W Mcmillian Road, Boise, ID 83713 | 2009-01-30 |
| 1699930404 | Dennis J. Garpetti, Dds, P.C. | Dentist | 13108 West Persimmon Lane, Boise, ID 83713 | 2008-07-21 |
| Find all providers in zip 83713 | ||||
| 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 |
| 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 |
| 1497143507 | Precision Performance and Therapy | Physical Therapist | 8950 W Emerald St, Ste 150, Boise, ID 83704-4854 | 2014-12-26 |
| 1407287477 | Scott Billing | Physical Therapist | 703 Americana Blvd, Ste 130, Boise, ID 83702 | 2013-12-02 |
| Find all providers in BOISE | ||||
Please comment or provide details below to improve the information on DANA VAN WYCK.
| 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.