FOOT DYNAMICS (NPI# 1760555288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760555288 |
| Entity Type | Organization |
| Organization Name | FOOT DYNAMICS |
| Other Organization Name | JEFFREY T. JACOBS |
| Practice Address |
1021 W. Main St. Boise ID 83702-5706 |
| Practice Telephone | 2083863338 |
| Practice Fax Number | 2083863250 |
| Mailing Telephone | 2083863338 |
| Mailing Fax Number | 2083863250 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2009-02-24 |
| Authorized Official Name | MR. JEFFREY THOMAS JACOBS (OWNER) |
| Authorized Official Telephone | 2083863338 |
| Authorized Official Credential | C.PED. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Z00000X | Orthotist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Jeffrey T. Jacobs | Former Legal Business Name - Organization |
| Street Address |
1021 W. MAIN ST. |
| City | BOISE |
| State | ID |
| Zip Code | 83702-5706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790321966 | Inland Northwest Neuromonitoring Pllc | Psychiatry & Neurology | 950 Bannock Street, Suite 1100, Boise, ID 83702 | 2019-11-22 |
| 1508359084 | Emily Cook | Dietitian, Registered | St. Luke's Rehab Hospital, 600 N Robbins Road, Bosie, ID 83702 | 2018-06-11 |
| 1265925887 | Marla Braendle | Dietitian, Registered | St. Luke's Rehabilitation Hospital, 600 N. Robbins Road, Boise, ID 83702 | 2018-06-08 |
| 1114419678 | Sidrah Khan Psychotherapy PC | Social Worker | 242 N 8th St, Suite 200, Boise, ID 83702 | 2018-05-31 |
| 1508386707 | Emp Idaho Nampa, LLC | General Acute Care Hospital | 350 E Myrtle Street, Suite 100, Boise, ID 83702 | 2017-06-20 |
| 1194264077 | Karen Mangum | Dietitian, Registered | 115 N. Main Street, Suite #203, Boise, ID 83702 | 2017-02-13 |
| 1750828422 | Stephen Pyper | Massage Therapist | 14089 Main St #100, Boise, ID 83702 | 2017-01-19 |
| 1427504398 | The Young Mens Christian Association of Boise City Idaho | Health Educator | 419 N 11th St, Boise, ID 83702 | 2016-08-30 |
| 1942756838 | Brent Hiroshi Sasaki | Pharmacist | 500 West Fort Street (119), Boise, ID 83702 | 2016-08-30 |
| 1578912051 | Marnae Walker | Counselor | 509 S. 14th St, Suite 2, Boise, ID 83702 | 2016-06-06 |
| Find all providers in zip 83702 | ||||
| Taxonomy Code | 222Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotist |
| A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780926428 | Katelyn Helen Ell | Orthotist | 1530 S Loggers Creek Ln, Boise, ID 83706-3936 | 2013-03-20 |
| 1518469279 | Lisa Ann Lewis | Orthotist | 500 W Fort St, Boise, ID 83702-4501 | 2018-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154357242 | Marshall R Black | Orthotist | 823 16th Ave, Lewiston, ID 83501-3733 | 2006-06-23 |
| 1093316200 | Amy Stone | Orthotist | 1912 E Franklin Rd, Meridian, ID 83642-5906 | 2020-11-04 |
| 1033403886 | Christopher Paul Moore | Orthotist | 2204 Ironwood Pl, Suite A, Coeur D Alene, ID 83814-2662 | 2011-06-08 |
| 1891089215 | Mary Margaret Fischer | Orthotist | 2204 Ironwood Pl, Suite A, Coeur D Alene, ID 83814-2662 | 2011-06-02 |
| 1013136407 | Joseph Thornton | Orthotist | 801 Bryden Ave, Lewiston, ID 83501-4927 | 2007-04-24 |
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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.