Jonathan S Link (NPI# 1912012808, PAC ID# 7719937473) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
Nation Provider ID (NPI) | 1912012808 |
PAC ID by PECOS | 7719937473 |
Professional Enrollment ID | I20151029002666 |
Full Name | Jonathan S Link |
Organization Legal Name | BOISE RIVER PHYSICAL THERAPY |
Address |
64 S Star Rd Star ID 83669-5497 |
Phone Number | 8155406065 |
Gender | M |
Credential | PT |
Graduation Year | 1999 |
Primary Specialty | PHYSICAL THERAPY |
Group Practice PAC ID | 7719293497 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
64 S Star Rd, Star, ID 83669-5497 | 8155406065 | BOISE RIVER PHYSICAL THERAPY |
64 S Star Rd, Suite 2, Star, ID 83669-5497 | 8155406065 | BOISE RIVER PHYSICAL THERAPY |
Organization Legal Name | BOISE RIVER PHYSICAL THERAPY |
Physicians | 1 |
Street Address |
64 S STAR RD |
City | STAR |
State | ID |
Zip | 83669-5497 |
Name | Specialty | Organization | Address |
---|---|---|---|
Beverlee K Furner | Nurse Practitioner | 9858 W State St, Star, ID 83669-5210 | |
Judianne K Nichols | Physical Therapy | Nichols Therapy Group P.C. | 9652 W State St, Northstar Physical Therapy, Star, ID 83669-5858 |
Lindsey E Decloss | Physical Therapy | Nichols Therapy Group P.C. | 9652 W State St, Northstar Physical Therapy, Star, ID 83669-5858 |
Brian M Holgate | Physical Therapy | Nichols Therapy Group P.C. | 9652 W State St, Northstar Physical Therapy, Star, ID 83669-5858 |
Brian D Nichols | Physical Therapy | Nichols Therapy Group P.C. | 9652 W State St, Northstar Physical Therapy, Star, ID 83669-5858 |
City | STAR |
Zip Code | 83669 |
Specialty | PHYSICAL THERAPY |
City + Specialty | STAR + PHYSICAL THERAPY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.