Provider Demographics
NPI:1992539068
Name:ALL IN PHYSICAL THERAPY, LLC
Entity type:Organization
Organization Name:ALL IN PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JIM
Authorized Official - Middle Name:
Authorized Official - Last Name:BURNETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-515-7575
Mailing Address - Street 1:1588 W CAYUSE CREEK DR STE 110
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:ID
Mailing Address - Zip Code:83646-4795
Mailing Address - Country:US
Mailing Address - Phone:208-515-7575
Mailing Address - Fax:208-515-7578
Practice Address - Street 1:2976 S MERIDIAN RD STE 150
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83642-8532
Practice Address - Country:US
Practice Address - Phone:208-515-7575
Practice Address - Fax:208-515-7578
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALL IN PHYSICAL THERAPY, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-08-29
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty