Active NPI
Aspire Physical Therapy, PLLC
- Physical Therapist
- Hailey, ID
National Provider Identifier
1053857730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- ASPIRE PHYSICAL THERAPY, PLLC
- Practice address
- 113 E Bullion St
Suite C
Hailey, ID 83333-8770 - Phone
- (208) 720-3421
- Fax
- (208) 297-2680
- NPI assigned
- Jan 18, 2017
- Last updated
- Jan 18, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gloria Gould Gunter, MPT
- Title
- Owner/Physical Therapist
- Phone
- (208) 720-3421
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | Primary |
Addresses
Primary practice location
113 E Bullion St
Suite C
Hailey, ID 83333-8770
Mailing address
PO Box 92
Hailey, ID 83333-0092
Phone (208) 720-3421
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000010030447 | Other | ID | BLUE SHIELD |
| 1275512246 | Medicaid | ID | |
| T4868 | Other | ID | BLUE CROSS |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Physical Therapist
- Hailey, ID
- NPI 1275512246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484697600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1484697600000",
"number": "1053857730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 92",
"city": "HAILEY",
"state": "ID",
"postal_code": "833330092",
"telephone_number": "208-720-3421",
"fax_number": "208-297-2680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 E BULLION ST",
"address_2": "SUITE C",
"city": "HAILEY",
"state": "ID",
"postal_code": "833338770",
"telephone_number": "208-720-3421",
"fax_number": "208-297-2680"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASPIRE PHYSICAL THERAPY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-18",
"last_updated": "2017-01-18",
"status": "A",
"authorized_official_last_name": "GUNTER",
"authorized_official_first_name": "GLORIA",
"authorized_official_middle_name": "GOULD",
"authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
"authorized_official_telephone_number": "208-720-3421",
"authorized_official_credential": "MPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "000010030447",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1275512246",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "T4868",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hailey, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.