Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Building Blocks Pediatric Therapy

Organization Pediatric Physical Therapist · NPI 1720402431

Building Blocks Pediatric Therapy is a Pediatric Physical Therapist in Lewiston, Idaho. Licensed in Idaho and Washington. Registered with an NPI since 2014.

Licensed in
ID, WA
In the registry since
2014
Specialties on file
2

Practice location Address checks out

1019 3rd St
Lewiston, ID 83501-2713
Phone: (208) 818-4846
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X · Licence PT2265 (ID)
Pediatric Physical Therapist Taxonomy 2251P0200X · Licence PT000010795 (WA)

Record details

NPI number1720402431
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jamie Larsen — Owner/Physical Therapist · (208) 816-4195
NPI enumeratedFebruary 17, 2014
Last updated in NPPESApril 12, 2014
Mailing address1019 3rd St, Lewiston, ID 83501-2713