BRIAN MCDERMOTT (NPI# 1649506502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649506502 |
| Entity Type | Individual |
| Full Name | BRIAN MCDERMOTT |
| Credential | P.T. |
| Practice Address |
12072 Mcmillan Rd Boise ID 83713-2462 |
| Practice Telephone | 2084737546 |
| Mailing Telephone | 2084737546 |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2011-09-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT-2924 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225100000X | Physical Therapist | 36141 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710454111 | Brian Mcdermott | Nurse Practitioner | 1230 S Linden Rd Ste 4, Flint, MI 48532-3424 | 2018-10-24 |
| 1790065027 | Brian Mcdermott | Physical Therapy Assistant | 2173 Se Herron Ave, Port St Lucie, FL 34952-5854 | 2011-08-18 |
| 1114244142 | Brian William Mcdermott | Podiatrist | 1010 N Bancroft Pkwy, Ste 12, Wilmington, DE 19805-2690 | 2010-04-30 |
| 1477707552 | Brian Mcdermott | Internal Medicine | 100 Park St, Glens Falls Hospital, Glens Falls, NY 12801-4413 | 2008-11-16 |
| 1366489874 | Brian Mcdermott | Orthopaedic Surgery | 3310 Fall Hill Ave, Fredericksburg, VA 22401-3000 | 2006-06-01 |
| Street Address |
12072 MCMILLAN RD |
| City | BOISE |
| State | ID |
| Zip Code | 83713-2462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639365323 | Zrj Inc | Occupational Therapist | 12072 Mcmillan Rd, Boise, ID 83713-2462 | 2007-09-17 |
| 1821385188 | Jon P Aramburu | Occupational Therapist | 12072 Mcmillan Rd, Boise, ID 83713-2462 | 2011-07-06 |
| 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 | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124637095 | Rick Charles Loveland | Physical Therapist | 10390 W Sawtail St, Boise, ID 83714-9508 | 2020-07-27 |
| 1558979138 | Chloe Coleman | Physical Therapist | 1961 S Broadway Ave, Boise, ID 83706-4201 | 2020-07-20 |
| 1811512650 | Lauren Olivia Vangorp | Physical Therapist | 5418 N Eagle Rd Ste 170, Boise, ID 83713-0999 | 2020-06-08 |
| 1366089153 | Shelby Mcgibney | Physical Therapist | 1835 Wildwood St, Boise, ID 83713-5146 | 2019-11-29 |
| 1417441270 | James Liaw | Physical Therapist | 1109 W Myrtle St Ste 220, Boise, ID 83702-6975 | 2018-06-15 |
| 1720570997 | Ron Giles | Physical Therapist | 2999 N Lakeharbor Ln Ste 120, Boise, ID 83703-6291 | 2018-06-04 |
| 1841701976 | Pamela Brown | Physical Therapist | 2910 W Hazel St, Boise, ID 83703-5939 | 2017-10-16 |
| 1013436641 | Renew Manual Physical Therapy Pllc | Physical Therapist | 7444 W Saxton Dr # K101, Boise, ID 83714-1316 | 2017-09-14 |
| 1609391952 | Janice Lynette Fountain | Physical Therapist | 4110 N La Fontana Way, Boise, ID 83702-1559 | 2017-08-08 |
| 1134643885 | Ian David Tracy | Physical Therapist | 1175 E Parkcenter Blvd Ste 104, Boise, ID 83706-6752 | 2017-08-02 |
| 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.