HAILEY PHYSCIAL THERAPY, PA – NPI #1578671988
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.

HAILEY PHYSCIAL THERAPY, PA is an AHC clinic located in HAILEY, ID. NPPES has assigned the NPI number 1578671988 to HAILEY PHYSCIAL THERAPY, PA on August 26, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QP2000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Physical Therapy

The NPI profile was previously updated about 15 years ago on Oct 04, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HAILEY PHYSCIAL THERAPY, PA below.

NPI Profile for
HAILEY PHYSCIAL THERAPY, PA

NPI Number
1578671988
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
HAILEY PHYSCIAL THERAPY, PA
Primary location
21 EAST MAPLE STREET
SUITE D
HAILEY, ID 83333
Phone: (208) 481-0275 Fax: (208) 578-7757
Mailing address
PO BOX 3113
HAILEY, ID 83333-3113
Phone: (208) 481-0275 Fax: (208) 578-7757
Organization Subpart
No
Authorized Official
MARY HOGAN
OWNER/ PHYSICAL THERAPIST
Phone: (208) 481-0275
Updated
Identifiers

Identifiers for HAILEY PHYSCIAL THERAPY, PA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDID807318900
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2000X
- Clinic/Center / Physical Therapy (Primary)
ID 651

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.