Cottonwood Physical Therapy, PLLC
Physical Therapist in Cottonwood, ID. Organization (NPI-2).
NPI number1124866652
StatusActive
Last updated in NPPESJul 18, 2024
Details
- NPI
- 1124866652
- Entity type
- Organization (NPI-2)
- Legal business name
- Cottonwood Physical Therapy, PLLC
- Organization subpart
- No
- Enumeration date
- Jul 18, 2024
- Certification date
- Jul 18, 2024
- Last updated
- Jul 18, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
Practice location
405 Main St Ste CCottonwood, ID 83522-5299
Phone 208-507-2359
Mailing address
1000 Greencreek RdCottonwood, ID 83522-5038
Phone 208-507-2359
Authorized official
Joseph Smith
Owner/Physical Therapist
2085072359
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physical Therapist providers in Cottonwood, ID
- Christopher P Roach, PTNPI 1568899664
- Jamie Scheffler, PTNPI 1376965319
- Joseph Smith, DPTNPI 1588322309
- St. Mary'S Hospital INCNPI 1114151016
- Nathan Svendsen, DPTNPI 1346018819
- Kyle J Westhoff, PTNPI 1972930006
All 7 Physical Therapist providers in Cottonwood · All 58 providers in Cottonwood
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