Provider Demographics
NPI: | 1154091874 |
---|---|
Name: | ALL ACCESS THERAPY INC |
Entity type: | Organization |
Organization Name: | ALL ACCESS THERAPY INC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PT/OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | CHRYSTAL |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | BROWNING |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | DPT, PCS |
Authorized Official - Phone: | 208-221-4677 |
Mailing Address - Street 1: | 650 N STATE ST STE 5 |
Mailing Address - Street 2: | |
Mailing Address - City: | SHELLEY |
Mailing Address - State: | ID |
Mailing Address - Zip Code: | 83274-4900 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 208-428-6079 |
Mailing Address - Fax: | 208-209-6079 |
Practice Address - Street 1: | 650 N STATE ST STE 5 |
Practice Address - Street 2: | |
Practice Address - City: | SHELLEY |
Practice Address - State: | ID |
Practice Address - Zip Code: | 83274-4900 |
Practice Address - Country: | US |
Practice Address - Phone: | 208-428-6079 |
Practice Address - Fax: | 208-209-6079 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2021-09-14 |
Last Update Date: | 2023-05-23 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 2251P0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Pediatrics | Group - Multi-Specialty |
No | 224Z00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant | Group - Multi-Specialty | |
No | 224ZL0004X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant | Low Vision | Group - Multi-Specialty |
No | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Multi-Specialty | |
No | 225200000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapy Assistant | Group - Multi-Specialty | |
No | 225XF0002X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Feeding, Eating & Swallowing | Group - Multi-Specialty |
No | 225XP0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Pediatrics | Group - Multi-Specialty |
No | 2355S0801X | Speech, Language and Hearing Service Providers | Specialist/Technologist | Speech-Language Assistant | Group - Multi-Specialty |
No | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | Group - Multi-Specialty | |
No | 261QP2000X | Ambulatory Health Care Facilities | Clinic/Center | Physical Therapy | Group - Multi-Specialty |