NPIMap

Organization Active NPI

Action Therapy

Doing business as Idaho Physical Therapy

  • Physical Therapist
  • Boise, ID
National Provider Identifier
1003863457
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ACTION THERAPY
Doing business as
Idaho Physical Therapy
Practice address
1175 E Parkcenter Blvd
Ste 101
Boise, ID 83706-6751
Phone
(208) 367-1010
NPI assigned
May 30, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
David S Ray, MPTNPI 1386685493
Title
Owner
Phone
(208) 888-0044

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X ID Primary

Addresses

Primary practice location

1175 E Parkcenter Blvd
Ste 101
Boise, ID 83706-6751

Mailing address

3090 E Gentry Way
Ste 250
Meridian, ID 83642-3501
Phone (208) 888-0044

Other names 1

  • Idaho Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

1175 E Parkcenter Blvd
Ste 101
Boise, ID 83706
Phone (208) 367-1010

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003863457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3090 E GENTRY WAY",
            "address_2": "STE 250",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836423501",
            "telephone_number": "208-888-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 E PARKCENTER BLVD",
            "address_2": "STE 101",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837066751",
            "telephone_number": "208-367-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTION THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-888-0044",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Idaho Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.