Performance Physical Therapy Of Idaho - Medicare Physical Therapist in Eagle, ID

Performance Physical Therapy Of Idaho is a medicare enrolled "Physical Therapist" provider in Eagle, Idaho. Their current practice location is 450 W State St Ste 270, Eagle, Idaho. You can reach out to their office (for appointments etc.) via phone at (925) 856-7007.

Performance Physical Therapy Of Idaho is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Performance Physical Therapy Of Idaho is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1295234367.

Contact Information

Performance Physical Therapy Of Idaho
450 W State St Ste 270,
Eagle, ID 83616-6974
(925) 856-7007
Not Available



Healthcare Provider's Profile

Full NamePerformance Physical Therapy Of Idaho
TypeFacility
SpecialityPhysical Therapist
Location450 W State St Ste 270, Eagle, Idaho
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295234367
  • Provider Enumeration Date: 02/05/2018
  • Last Update Date: 02/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0648528570
  • Enrollment ID: O20180808002818

Medical Identifiers

Medical identifiers for Performance Physical Therapy Of Idaho such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295234367NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Performance Physical Therapy Of Idaho acts as a billing entity for following providers:
Provider NameMatthew Candau
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1457746067
PECOS PAC ID: 9436470069
Enrollment ID: I20170425002757

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Provider NameChad S Neubauer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1619398393
PECOS PAC ID: 5395168587
Enrollment ID: I20200707000769

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Performance Physical Therapy Of Idaho is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Performance Physical Therapy Of Idaho
1940 S Bonito Way Ste 190,
Meridian, ID 83642-5618

Ph: (208) 287-9420
Performance Physical Therapy Of Idaho
450 W State St Ste 270,
Eagle, ID 83616-6974

Ph: (925) 856-7007

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Physical Therapist in Eagle, ID

Allison Andrews Boldridge, P.T.
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 77 N Fisher Park Way, Eagle, ID 83616
Phone: 208-297-3039    
Serin Kim, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 77 N Fisher Park Way, Eagle, ID 83616
Phone: 208-297-3039    Fax: 208-416-6635
Kathryn L Stednitz, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 21 N Fisher Park Way, Eagle, ID 83616
Phone: 208-514-0670    
Christopher Fox, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 645 E State St Ste 101, Eagle, ID 83616
Phone: 208-939-9594    Fax: 208-939-9828
Emily Verheijen, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 507 S Fitness Pl Ste 110, Eagle, ID 83616
Phone: 208-629-1030    Fax: 208-346-7618
Ms. Megan Meduna, MSPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 457 S Fitness Pl Ste 100, Eagle, ID 83616
Phone: 208-939-3332    Fax: 208-939-3338
Elise Talboy, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 516 S Wooddale Pl, Eagle, ID 83616
Phone: 208-477-7363    

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