IDAHO PEDIATRIC THERAPY CLINIC PLLC
NPI 1194125617
Physical Therapist in Meridian, ID

Active since September 03, 2014
3080 E GENTRY WAY STE 180, MERIDIAN, ID 83642(208) 939-3334(208) 939-1122 Get Directions Write a Review

NPPES record last updated: July 9, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Idaho Pediatric Therapy Clinic Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IDAHO PEDIATRIC THERAPY CLINIC PLLC (NPI 1194125617) is a healthcare organization registered as a physical therapist in Meridian, Idaho and active in the NPI registry since September 2014. The organization lists Jennifer Longoria, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1194125617
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameIDAHO PEDIATRIC THERAPY CLINIC PLLC
Location Address3080 E GENTRY WAY STE 180Meridian, ID 83642-3544
Mailing Address3080 E Gentry Way Ste 180Meridian, ID 83642-3544 · (089) 393-3342 · Fax (208) 939-1122
Fax(208) 939-1122
Organization SubpartNo
Authorized OfficialJennifer LongoriaOffice Manager · (208) 939-3334
Enumeration DateSeptember 3, 2014
Last NPPES UpdateJuly 9, 2019
NPI 1194125617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in ID · PT-1450
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
Also ListedOccupational TherapistTaxonomy 225X00000X · License OT-928 (ID)
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X · License SLP-2249 (ID)
3080 E GENTRY WAY STE 180, Meridian, ID 83642

Other Identifiers 2

Medicaid1194125617ID
Medicaid1013086610ID

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist (Pediatrics)
3080 E GENTRY WAY STE 180
MERIDIAN, ID 83642
Physical Therapist (Pediatrics)
3080 E GENTRY WAY STE 180
MERIDIAN, ID 83642
Physical Medicine & Rehabilitation
3080 E GENTRY WAY STE 180
MERIDIAN, ID 83642
Speech-Language Pathologist
3080 E GENTRY WAY STE 180
MERIDIAN, ID 83642

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Idaho Pediatric Therapy Clinic PLLC's NPI number?

The NPI number for Idaho Pediatric Therapy Clinic PLLC is 1194125617. It was assigned to this organization in the NPPES registry on September 3, 2014.

Where is Idaho Pediatric Therapy Clinic PLLC located?

Idaho Pediatric Therapy Clinic PLLC is located at 3080 E Gentry Way Ste 180, Meridian, ID 83642. The listed phone number is (208) 939-3334.

What is Idaho Pediatric Therapy Clinic PLLC's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

When was this NPI record last updated?

The NPPES record for Idaho Pediatric Therapy Clinic PLLC was last updated on July 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.