OrganizationActive
Advanced PT LLC
NPI 1104991702 · Physical Therapist · Meridian, ID
Provider details
- NPI number
- 1104991702
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Authorized official
- David Todd, Owner
Practice location
1640 W Cherry Ln
Ste 120
Meridian, ID 83642-8187
Phone: (208) 855-2099
Fax: (208) 855-2155
Mailing address
200 W Douglas Ave
Wichita, KS 67202-3017
Registry dates
- Enumerated
- 2006-11-21
- Last updated
- 2008-02-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.