Michael David Rupp (NPI# 1184042129, PAC ID# 9032334321) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
Nation Provider ID (NPI) | 1184042129 |
PAC ID by PECOS | 9032334321 |
Professional Enrollment ID | I20140630000606 |
Full Name | Michael David Rupp |
Organization Legal Name | PT WORKS INC |
Address |
316 W 2nd Soda Springs ID 83276-1515 |
Phone Number | 2085473125 |
Gender | M |
Graduation Year | 2014 |
Primary Specialty | PHYSICAL THERAPY |
Group Practice PAC ID | 2961745088 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
316 W 2nd, Soda Springs, ID 83276-1515 | 2085473125 | PT WORKS INC |
Organization Legal Name | PT WORKS INC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Douglas Wayne Ball | Physical Therapy | Pt Works Inc | 316 W 2nd, Soda Springs, ID 83276-1515 |
Street Address |
316 W 2ND |
City | SODA SPRINGS |
State | ID |
Zip | 83276-1515 |
Name | Specialty | Organization | Address |
---|---|---|---|
Douglas Wayne Ball | Physical Therapy | Pt Works Inc | 316 W 2nd, Soda Springs, ID 83276-1515 |
Name | Specialty | Organization | Address |
---|---|---|---|
Sherie Ann Flagg | Clinical Social Worker | 61 E 1st, Soda Springs, ID 83276-1437 | |
Wesley Aaron Bowman | Chiropractic | 300 W 2nd, Soda Springs, ID 83276-1515 | |
Eric M Bowman | Chiropractic | 300 W 2nd, Soda Springs, ID 83276-1515 | |
Renee L Katter | Physician Assistant | Portneuf Valley Family Center | 15 W Ctr St, Suite 2, Soda Springs, ID 83276-1530 |
Jared M Shelton | Chiropractic | 45 W Ctr St, Soda Springs, ID 83276-1530 | |
Kelly P Palmer | Psychiatry | Portneuf Valley Family Center | 15 W Ctr St, Suite 2, Soda Springs, ID 83276-1530 |
Jennifer C Felter | Nurse Practitioner | Caribou Memorial Hospital | 300 S 3rd, Soda Springs, ID 83276-1559 |
Claine D Judy | General Surgery | Caribou Memorial Hospital | 300 S 3rd, Soda Springs, ID 83276-1559 |
Nita B Weber | Internal Medicine | Caribou Memorial Hospital | 300 S 3rd, Soda Springs, ID 83276-1559 |
Jonathan W Housley | Family Medicine | Caribou Memorial Hospital | 300 S 3rd, Soda Springs, ID 83276-1559 |
Find all physicians in zip 83276 |
City | SODA SPRINGS |
Zip Code | 83276 |
Specialty | PHYSICAL THERAPY |
City + Specialty | SODA SPRINGS + 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.