Active NPI
Kyle Aaron Holbrook, PT, DPT, NCS
- Neurology Physical Therapist
- Boise, ID
National Provider Identifier
1003248923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physical Therapist
- License
- 2400
- Practice address
- 600 N Robbins Rd
Boise, ID 83702-4565 - Phone
- (208) 489-4444
- NPI assigned
- Aug 1, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physical Therapist | 2251N0400X | 2400 | ID | Primary |
Addresses
Primary practice location
600 N Robbins Rd
Boise, ID 83702-4565
Mailing address
2171 S Myers PL
Boise, ID 83706-5503
Phone (208) 908-2359
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2400 | ID | MD | Neurology Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375315200000",
"number": "1003248923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2171 S MYERS PL",
"city": "BOISE",
"state": "ID",
"postal_code": "837065503",
"telephone_number": "208-908-2359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N ROBBINS RD",
"city": "BOISE",
"state": "ID",
"postal_code": "837024565",
"telephone_number": "208-489-4444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLBROOK",
"first_name": "KYLE",
"middle_name": "AARON",
"credential": "PT, DPT, NCS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-08-01",
"last_updated": "2013-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "ID",
"license": "2400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.