Advanced Pt LLC
Advanced Pt LLC is a healthcare organization registered as Physical Therapist in Meridian, ID, holding Type 2 (organization) NPI 1104991702 since 2006. The authorized official on file is David Todd, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104991702 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Advanced Pt LLC |
| Other name | <Unavail> |
| Practice address | 1640 W CHERRY LN, STE 120, Meridian, ID, 83642 |
| Phone | 2088552099 |
| Fax | 2088552155 |
| Enumeration date | 2006-11-21 |
| Last updated in NPPES | 2008-02-19 |
Authorized official
| Name | David Todd |
|---|---|
| Title | Owner |
| Phone | 3162606869 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 225100000X | Physical Therapist | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DG5887 | Other | ID | RETIRED RAILROAD MEDICARE |
Copy-ready billing details
Provider: Advanced Pt LLC NPI: 1104991702 Taxonomy: 225100000X (Physical Therapist) Address: 1640 W CHERRY LN, STE 120, Meridian, ID, 83642
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1417096256 | Evergreen Natural Health Solutions | Organization | Chiropractor | Meridian, ID |
| 1477820215 | Evergreen Wellness Group LLC | Organization | Chiropractor | Meridian, ID |
| 1629476726 | Balanced Life Chiropractic | Organization | Chiropractor | Meridian, ID |
| 1164813101 | Lux Wellness LLC | Organization | Exclusive Provider Organization | Meridian, ID |
Verify this record
Cross-check NPI 1104991702 against the authoritative CMS record: view Advanced Pt LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Advanced Pt LLC?
Who is the authorized official for Advanced Pt LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-02-19.