Autumn Grove is a Physical Therapist based in Hayden, ID. Autumn Grove practices in Hayden, ID. The NPI Number for Autumn Grove is 1033596747 and holds a License No. PTL. 0013479 (Idaho).
The current practice location address for Autumn Grove is 8238 N Government Way, Hayden, ID and can be reached out via phone at 208-762-2100 and via fax at 208-762-2101.
Location: 8238 N Government Way, Hayden, ID, 83835-5034
Provider Profile Details
NPI Number
1033596747
Provider Name
Autumn Grove
Credential
Provider Entity Type
Individual
Gender
Female
Address
8238 N Government Way, Hayden, ID, 83835-5034
Phone Number
208-762-2100
Fax Number
208-762-2101
Provider Enumeration Date
05/01/2015
Last Update Date
08/17/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT-5390 | 01 | ID | IDAHO STATE PHYSICAL THERAPY LICENSE |
| PTL. 0013479 | 01 | CO | COLORADO STATE PHYSICAL THERAPY LICENSE |
Provider Business Practice Location Address Details
Address
8238 N Government Way
City
State
Zip
83835-5034
Phone Number
208-762-2100
Fax Number
208-762-2101
Provider Business Mailing Address Details
Address
8238 N Government Way
City
State
Zip
83835-5034
Phone Number
208-762-2100
Fax Number
208-762-2101
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
-
Taxonomy
License No.
PT-5390 (Idaho)
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Orthopedic
Taxonomy
License No.
PTL. 0013479 (Colorado)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
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