Autumn Grove
Autumn Grove is a Physical Therapist in Private Practice in Hayden, Idaho. Qualified in 2012, 14 years ago. Practices with Lake City Physical Therapy P A, a 13-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Colorado and Idaho.
- Years since qualifying
- 14
- Licensed in
- CO, ID
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
8238 N Government WayHayden, ID 83835-5034
Phone: (208) 762-2100
Fax: (208) 762-2101
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 11185 W. 6th Avenue, Lakewood, CO 80215 — (303) 239-6060
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence PT-5390 (ID) |
|---|---|
| Orthopedic Physical Therapist | Taxonomy 2251X0800X · Licence PTL. 0013479 (CO) |
Record details
| NPI number | 1033596747 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 1, 2015 |
| Last updated in NPPES | August 1, 2024 |
| Certification date | August 1, 2024 |
| Mailing address | 8238 N Government Way, Hayden, ID 83835-5034 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2012 (14 years in practice) |
| Group practice | Lake City Physical Therapy P A — 13 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
Other providers in Hayden
-
MS. Sheree Lynn Dibiase, PT
8238 N Government Way, Hayden, ID 83835-5034 · (208) 762-2100
-
McKenna Briane Young, PT
8382 N Wayne Dr Ste 204, Hayden, ID 83835-6028 · (208) 719-9071