# TRI-CITY PHYSICAL THERAPY, P.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Advanced Physical Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477573756
- **Authorized official:** MR. CODY DEE STEPHENS P.T. (OWNER/PRESIDENT)
- **Authorized official phone:** (208) 452-6366

## Contact information

- **Practice address:** 275 E 7TH ST, WEISER, ID 83672-2303
- **Practice address phone:** (208) 549-1008
- **Practice address fax:** (208) 549-1396
- **Mailing address:** 275 E 7TH ST, WEISER, ID 83672-2303
- **Mailing address phone:** (208) 549-1008
- **Mailing address fax:** (208) 549-1396

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | NULL | Yes |
| 174400000X | Specialist | — | — | Yes |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |

## Other

- **Enumeration date:** 07/20/2006
- **Last updated:** 05/21/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 804093200 | — | ID |