Organization
PEAK PHYSICAL THERAPY P C
Active
Organization
PEAK PHYSICAL THERAPY P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARIN TUCKER PTA (OWNER)
(208) 375-0666
Entity
Organization
Contact information
Practice address
7550 W EMERALD ST # 101, BOISE, ID 83704-9015
(208) 375-0666
(208) 375-2996
Mailing address
1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005
(812) 628-3060
(208) 375-2996
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010142952
BLUE SHIELD OF IDAHO
ID
05
—
806711000
—
ID
01
—
CK8839
RAIL ROAD MEDICARE
ID
01
—
T8059
BLUE CROSS OF IDAHO
ID
Enumeration date
06/04/2006
Last updated
10/27/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up