Active NPI
Carmen M Schmidt, PT
- Physical Therapist
- Nampa, ID
National Provider Identifier
1053521864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-957
- Practice address
- 220 10TH Ave S
Nampa, ID 83651-3832 - Phone
- (208) 489-5950
- NPI assigned
- May 23, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-957 | ID | Primary |
Addresses
Primary practice location
220 10TH Ave S
Nampa, ID 83651-3832
Mailing address
12788 Smith Ave
Nampa, ID 83651-8100
Phone (208) 463-0538
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-957 | ID | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Lukes Clinic-Treasure Valley LLC | Current | Accepting new patients |
Locations
190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378
3950 17th St
Baker City, OR 97814
Phone (541) 523-1001
1182 SW 4th Ave
Ontario, OR 97914
Phone (541) 298-2101
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053521864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12788 SMITH AVE",
"city": "NAMPA",
"state": "ID",
"postal_code": "836518100",
"telephone_number": "208-463-0538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 10TH AVE S",
"city": "NAMPA",
"state": "ID",
"postal_code": "836513832",
"telephone_number": "208-489-5950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMIDT",
"first_name": "CARMEN",
"middle_name": "M",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "PT-957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.