PRIMARY THERAPY SOURCE LLC
NPI 1104672682
Durable Medical Equipment & Medical Supplies in Twin Falls, ID

Active since April 25, 2024
254 RIVER VISTA PL, TWIN FALLS, ID 83301(208) 734-7333(208) 734-8350 Get Directions Write a Review

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Durable Medical Equipment & Medical Supp...

About PRIMARY THERAPY SOURCE LLC

This page provides the complete NPI Profile along with additional information for Primary Therapy Source Llc, a provider established in Twin Falls, Idaho operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1104672682 assigned on April 2024. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Deborah Jan Yingst Pt (Managing Member)

NPI
1104672682 Verify this NPI
Provider Name
PRIMARY THERAPY SOURCE LLC
Entity Type
Organization
Location Address
254 RIVER VISTA PL TWIN FALLS, ID 83301
Location Phone
(208) 734-7333
Location Fax
(208) 734-8350
Mailing Address
254 RIVER VISTA PL TWIN FALLS, ID 83301
Mailing Phone
(208) 734-7333
Mailing Fax
(208) 734-8350
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-25-2024
Last Update Date
04-25-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1332BC3200XSuppliers

Durable Medical Equipment & Medical Supplies
Customized Equipment

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DEBORAH JAN YINGST PT

Authorized Official Title
MANAGING MEMBER
Authorized Official Phone
(208) 734-7333

Reviews for PRIMARY THERAPY SOURCE LLC

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physical Therapist
254 RIVER VISTA PL
TWIN FALLS, ID 83301
Physical Therapist
254 RIVER VISTA PL
TWIN FALLS, ID 83301
Physical Therapist
254 RIVER VISTA PL
TWIN FALLS, ID 83301
Physical Therapist
254 RIVER VISTA PL
TWIN FALLS, ID 83301
Occupational Therapist
254 RIVER VISTA PL
TWIN FALLS, ID 83301
Occupational Therapist
254 RIVER VISTA PL
TWIN FALLS, ID 83301
Occupational Therapist
254 RIVER VISTA PL
TWIN FALLS, ID 83301
Occupational Therapist
254 RIVER VISTA PL
TWIN FALLS, ID 83301
Speech-Language Pathologist
254 RIVER VISTA PL
TWIN FALLS, ID 83301
Speech-Language Pathologist
254 RIVER VISTA PL
TWIN FALLS, ID 83301
Physical Therapist
254 RIVER VISTA PL
TWIN FALLS, ID 83301
Speech-Language Pathologist
254 RIVER VISTA PL
TWIN FALLS, ID 83301
Occupational Therapist
254 RIVER VISTA PL
TWIN FALLS, ID 83301
Speech-Language Pathologist
254 RIVER VISTA PL
TWIN FALLS, ID 83301
Occupational Therapist
254 RIVER VISTA PL
TWIN FALLS, ID 83301
Physical Therapist
254 RIVER VISTA PL
TWIN FALLS, ID 83301
Speech-Language Pathologist
254 RIVER VISTA PL
TWIN FALLS, ID 83301
Physical Therapist
254 RIVER VISTA PL
TWIN FALLS, ID 83301
Occupational Therapist
254 RIVER VISTA PL
TWIN FALLS, ID 83301
Speech-Language Pathologist
254 RIVER VISTA PL
TWIN FALLS, ID 83301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104672682, enumerated as an "organization" on April 25, 2024.

The provider is located at 254 RIVER VISTA PL TWIN FALLS, ID 83301 and the phone number is (208) 734-7333.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.